OrganizationActive
Vicksburg Surgical Associates, PA
NPI 1306084637 · Surgery Physician · Vicksburg, MS
Vicksburg Surgical Associates, PA is a Surgery Physician organization in Vicksburg, MS (NPI 1306084637).
Provider details
- NPI number
- 1306084637
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Sudderth, Owner(601) 831-2799
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
188 Ymca Place
Vicksburg, MS 39183-3052
Phone: (601) 831-2799
Fax: (601) 629-2723
Approximate (ZIP-level) locationGet directions
Mailing address
188 Ymca Place
Vicksburg, MS 39183-3052
Registry dates
- Enumerated
- 2009-01-23
- Last updated
- 2014-02-21
Frequently asked questions
- What is Vicksburg Surgical Associates, PA's NPI number?
- Vicksburg Surgical Associates, PA's National Provider Identifier (NPI) is 1306084637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vicksburg Surgical Associates, PA?
- Vicksburg Surgical Associates, PA is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Vicksburg Surgical Associates, PA located?
- Vicksburg Surgical Associates, PA's practice location on file with NPPES is 188 Ymca Place, Vicksburg, MS 39183-3052.
- What is Vicksburg Surgical Associates, PA's phone number?
- The practice phone number listed in the NPPES registry for Vicksburg Surgical Associates, PA is (601) 831-2799.
- Who is the authorized official for Vicksburg Surgical Associates, PA?
- The authorized official listed on Vicksburg Surgical Associates, PA's NPPES record is Stephen Sudderth, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vicksburg Surgical Associates, PA's NPI active?
- Yes — Vicksburg Surgical Associates, PA's NPI (1306084637) is active in the NPPES registry as of the last update on 2014-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.