OrganizationActive
Impacting Lives LLC
NPI 1063370831 · Primary Care Clinic/Center · Oxford, MS
Impacting Lives LLC is a Primary Care Clinic/Center organization in Oxford, MS (NPI 1063370831).
Provider details
- NPI number
- 1063370831
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Vinson, Owner(662) 404-7177
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2304 Jackson Ave W Ste 101
Oxford, MS 38655-5624
Phone: (662) 404-7177
Fax: (662) 769-3839
Street-level locationGet directions
Mailing address
2304 Jackson Ave W Ste 101
Oxford, MS 38655-5624
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Frequently asked questions
- What is Impacting Lives LLC's NPI number?
- Impacting Lives LLC's National Provider Identifier (NPI) is 1063370831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impacting Lives LLC?
- Impacting Lives LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Impacting Lives LLC located?
- Impacting Lives LLC's practice location on file with NPPES is 2304 Jackson Ave W Ste 101, Oxford, MS 38655-5624.
- What is Impacting Lives LLC's phone number?
- The practice phone number listed in the NPPES registry for Impacting Lives LLC is (662) 404-7177.
- Who is the authorized official for Impacting Lives LLC?
- The authorized official listed on Impacting Lives LLC's NPPES record is Melissa Vinson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impacting Lives LLC's NPI active?
- Yes — Impacting Lives LLC's NPI (1063370831) is active in the NPPES registry as of the last update on 2026-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.