IndividualActive
Shantwana Patterson
NPI 1366391088 · Family Medicine Physician · Vicksburg, MS
Shantwana Patterson is a Family Medicine Physician provider in Vicksburg, MS (NPI 1366391088).
Provider details
- NPI number
- 1366391088
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 915953 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 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
111 Granite Way
Vicksburg, MS 39183-6952
Phone: (662) 299-1888
Street-level locationGet directions
Mailing address
111 Granite Way
Vicksburg, MS 39183-6952
Registry dates
- Enumerated
- 2026-01-26
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Shantwana Patterson's NPI number?
- Shantwana Patterson's National Provider Identifier (NPI) is 1366391088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shantwana Patterson's specialty?
- Shantwana Patterson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shantwana Patterson located?
- Shantwana Patterson's practice location on file with NPPES is 111 Granite Way, Vicksburg, MS 39183-6952.
- What is Shantwana Patterson's phone number?
- The practice phone number listed in the NPPES registry for Shantwana Patterson is (662) 299-1888.
- Is Shantwana Patterson's NPI active?
- Yes — Shantwana Patterson's NPI (1366391088) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.