Vicksburg Clinic LLC
NPI 1154532257 · Durable Medical Equipment & Medical Supplies · Vicksburg, MS
Vicksburg Clinic LLC is a Durable Medical Equipment & Medical Supplies organization in Vicksburg, MS (NPI 1154532257).
Provider details
- NPI number
- 1154532257
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Debbie Brewer, Vp(877) 892-9813
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-05-24
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Frequently asked questions
- What is Vicksburg Clinic LLC's NPI number?
- Vicksburg Clinic LLC's National Provider Identifier (NPI) is 1154532257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vicksburg Clinic LLC?
- Vicksburg Clinic LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Vicksburg Clinic LLC located?
- Vicksburg Clinic LLC's practice location on file with NPPES is 1115 N Frontage Rd, Vicksburg, MS 39180-5102.
- What is Vicksburg Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Vicksburg Clinic LLC is (601) 634-8790.
- Who is the authorized official for Vicksburg Clinic LLC?
- The authorized official listed on Vicksburg Clinic LLC's NPPES record is Debbie Brewer, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vicksburg Clinic LLC's NPI active?
- Yes — Vicksburg Clinic LLC's NPI (1154532257) is active in the NPPES registry as of the last update on 2022-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.