Vicksburg Nephrology LLC
NPI 1013337658 · Nephrology Physician · Vicksburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vicksburg Nephrology LLC is a Nephrology Physician organization in Vicksburg, MS (NPI 1013337658).
Provider details
- NPI number
- 1013337658
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Davis, Owner(601) 738-5549
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-22
- Last updated
- 2014-04-22
Frequently asked questions
- What is Vicksburg Nephrology LLC's NPI number?
- Vicksburg Nephrology LLC's National Provider Identifier (NPI) is 1013337658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vicksburg Nephrology LLC?
- Vicksburg Nephrology LLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Vicksburg Nephrology LLC located?
- Vicksburg Nephrology LLC's practice location on file with NPPES is 104 Mcauley Dr, Vicksburg, MS 39183-2825.
- What is Vicksburg Nephrology LLC's phone number?
- The practice phone number listed in the NPPES registry for Vicksburg Nephrology LLC is (601) 738-5549.
- Does Vicksburg Nephrology LLC accept Medicare?
- Vicksburg Nephrology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vicksburg Nephrology LLC?
- The authorized official listed on Vicksburg Nephrology LLC's NPPES record is Michael Davis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vicksburg Nephrology LLC's NPI active?
- Yes — Vicksburg Nephrology LLC's NPI (1013337658) is active in the NPPES registry as of the last update on 2014-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.