VICKSBURG CLINIC LLC
NPI 1992722482
Family Medicine in Vicksburg, MS

Q: What is Vicksburg Clinic LLC's NPI number?

The NPI number for Vicksburg Clinic LLC is 1992722482. It was assigned to this organization in the NPPES registry on July 17, 2006.

Q: What is Vicksburg Clinic LLC's specialty?

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

Active since July 17, 2006

2100 HIGHWAY 61 N, VICKSBURG, MS 39183(601) 883-5000 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Vicksburg Clinic Llc NPPES

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

VICKSBURG CLINIC LLC (NPI 1992722482) is a healthcare organization registered as a family medicine in Vicksburg, Mississippi and active in the NPI registry since July 2006. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1992722482

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameVICKSBURG CLINIC LLC

Location Address2100 HIGHWAY 61 NVicksburg, MS 39183-8211

Mailing Address2100 Highway 61 NVicksburg, MS 39183-8211 · (601) 883-5000

Phone(601) 883-5000

Organization SubpartNo

Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (877) 892-9813

Enumeration DateJuly 17, 2006

Last NPPES UpdateJune 9, 2008

✔ NPI 1992722482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedSurgeryTaxonomy 208600000X

2100 HIGHWAY 61 N, Vicksburg, MS 39183

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Other Identifiers 6

Medicaid09015548MS

Medicaid00720204MS

Medicare PINCH4242MS

Medicaid09015545MS

Medicaid1444618LA

Medicare PINC02796MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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.

MR. MICHAEL J MCREYNOLDS CRNA

Nurse Anesthetist, Certified Registered