Vicksburg Spine Center, LLC
NPI 1134896038 · Ambulatory Surgical Clinic/Center · Vicksburg, MS
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vicksburg Spine Center, LLC is a Ambulatory Surgical Clinic/Center organization in Vicksburg, MS (NPI 1134896038).
Provider details
- NPI number
- 1134896038
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shannon Hylton, Manager(816) 547-5498
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-08-27
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Frequently asked questions
- What is Vicksburg Spine Center, LLC's NPI number?
- Vicksburg Spine Center, LLC's National Provider Identifier (NPI) is 1134896038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vicksburg Spine Center, LLC?
- Vicksburg Spine Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vicksburg Spine Center, LLC located?
- Vicksburg Spine Center, LLC's practice location on file with NPPES is 1903c Mission 66, Vicksburg, MS 39180-3711.
- What is Vicksburg Spine Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Vicksburg Spine Center, LLC is (601) 883-6304.
- Does Vicksburg Spine Center, LLC accept Medicare?
- Vicksburg Spine Center, 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 Spine Center, LLC?
- The authorized official listed on Vicksburg Spine Center, LLC's NPPES record is Shannon Hylton, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vicksburg Spine Center, LLC's NPI active?
- Yes — Vicksburg Spine Center, LLC's NPI (1134896038) is active in the NPPES registry as of the last update on 2024-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.