Central Mississippi Medical Clinic PLLC
NPI 1316813868 · Internal Medicine Physician · Vicksburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Mississippi Medical Clinic PLLC is a Internal Medicine Physician organization in Vicksburg, MS (NPI 1316813868).
Provider details
- NPI number
- 1316813868
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Blackston, Owner(601) 955-3223
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2025-10-13
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Central Mississippi Medical Clinic PLLC's NPI number?
- Central Mississippi Medical Clinic PLLC's National Provider Identifier (NPI) is 1316813868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Mississippi Medical Clinic PLLC?
- Central Mississippi Medical Clinic PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Central Mississippi Medical Clinic PLLC located?
- Central Mississippi Medical Clinic PLLC's practice location on file with NPPES is 2200 Highway 61 N Ste 2100, Vicksburg, MS 39183-8246.
- What is Central Mississippi Medical Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Central Mississippi Medical Clinic PLLC is (601) 955-3223.
- Does Central Mississippi Medical Clinic PLLC accept Medicare?
- Central Mississippi Medical Clinic PLLC 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 Central Mississippi Medical Clinic PLLC?
- The authorized official listed on Central Mississippi Medical Clinic PLLC's NPPES record is Joseph Blackston, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Mississippi Medical Clinic PLLC's NPI active?
- Yes — Central Mississippi Medical Clinic PLLC's NPI (1316813868) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.