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VICKSBURG PRIMARY CARE TEAM INC
NPI 1982768222
Family Medicine in Vicksburg, MS

Active since December 21, 2006
1901 MISSION 66, VICKSBURG, MS 39180(601) 636-0097(601) 629-9969 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vicksburg Primary Care Team Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKSBURG PRIMARY CARE TEAM INC (NPI 1982768222) is a healthcare organization registered as a family medicine in Vicksburg, Mississippi and active in the NPI registry since December 2006. The organization lists Mark Stanley, President, as its authorized official.

NPPES Registry Identity

NPI1982768222
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVICKSBURG PRIMARY CARE TEAM INC
Location Address1901 MISSION 66Vicksburg, MS 39180-3711
Mailing Address1901 Mission 66Vicksburg, MS 39180-3711 · (601) 636-0097 · Fax (601) 629-9969
Phone(601) 636-0097
Fax(601) 629-9969
Organization SubpartNo
Authorized OfficialMark StanleyPresident · (601) 636-0097
Enumeration DateDecember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1982768222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 13941
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1901 MISSION 66, Vicksburg, MS 39180
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Other Identifiers 1

Medicaid08801241MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOOD SAMARITAN PHYSICAL THERAPY,INC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Warren County (601) 638-4076
DR. ROBERT C MASTERSON DO
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-8244
CARLOS ALBERTO LATORRE M.D.
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
ROBERT M CANNON MD LLC
Clinic/Center (Primary Care)
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
FLOWERS MEDICAL GROUP LLC
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
JOHN R BARNES MD
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
DR. ROBERT MICHAEL CANNON M.D.
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
HOLLY PITTMAN OT
Occupational Therapist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Warren County (601) 638-4076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vicksburg Primary Care Team Inc's NPI number?

The NPI number for Vicksburg Primary Care Team Inc is 1982768222. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Vicksburg Primary Care Team Inc located?

Vicksburg Primary Care Team Inc is located at 1901 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 636-0097.

What is Vicksburg Primary Care Team Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vicksburg Primary Care Team Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.