OrganizationActive
West Mississippi Medical Services
NPI 1215451794 · Addiction Medicine (Family Medicine) Physician · Vicksburg, MS
Provider details
- NPI number
- 1215451794
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stanley Easterling, Owner(601) 636-8184
- License
- 10687 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
100 Mcauley Dr
Vicksburg, MS 39183-2825
Phone: (601) 883-3532
Street-level locationGet directions
Mailing address
607 Tiffintown Rd
Vicksburg, MS 39183-1503
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2017-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.