OrganizationActive
Vicksburg Clinic LLC
NPI 1174494975 · Rural Health Clinic/Center · Vicksburg, MS
Vicksburg Clinic LLC is a Rural Health Clinic/Center organization in Vicksburg, MS (NPI 1174494975).
Provider details
- NPI number
- 1174494975
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Vicksburg Clinic LLC
- Organization subpart
- Yes
- Authorized official
- Kristy Music, Director Provider Enrollment / Ao(615) 465-7377
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
3317 Pemberton Square Blvd
Vicksburg, MS 39180-5578
Phone: (601) 636-1173
Fax: (601) 630-9674
Street-level locationGet directions
Mailing address
Po Box 689022
Franklin, TN 37068-9022
Other names (DBA / former)
- Other name
- Merit Health Medical Group
Registry dates
- Enumerated
- 2025-09-15
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Frequently asked questions
- What is Vicksburg Clinic LLC's NPI number?
- Vicksburg Clinic LLC's National Provider Identifier (NPI) is 1174494975, 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 Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vicksburg Clinic LLC located?
- Vicksburg Clinic LLC's practice location on file with NPPES is 3317 Pemberton Square Blvd, Vicksburg, MS 39180-5578.
- What is Vicksburg Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Vicksburg Clinic LLC is (601) 636-1173.
- Who is the authorized official for Vicksburg Clinic LLC?
- The authorized official listed on Vicksburg Clinic LLC's NPPES record is Kristy Music, Director Provider Enrollment / Ao. 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 (1174494975) is active in the NPPES registry as of the last update on 2025-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.