River City Medical and Arthritis Center LLC
NPI 1508229378 · Rheumatology Physician · Vicksburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
River City Medical and Arthritis Center LLC is a Rheumatology Physician organization in Vicksburg, MS (NPI 1508229378).
Provider details
- NPI number
- 1508229378
- Entity type
- Organization
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dedri Ivory, Owner(601) 501-6991
- License
- 21520 (MS)
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
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- Dedri M Ivory MD PLLC
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2017-01-13
Frequently asked questions
- What is River City Medical and Arthritis Center LLC's NPI number?
- River City Medical and Arthritis Center LLC's National Provider Identifier (NPI) is 1508229378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is River City Medical and Arthritis Center LLC?
- River City Medical and Arthritis Center LLC is classified in the NPPES registry as Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is River City Medical and Arthritis Center LLC located?
- River City Medical and Arthritis Center LLC's practice location on file with NPPES is 3510 Pemberton Square Blvd, Vicksburg, MS 39180-5506.
- What is River City Medical and Arthritis Center LLC's phone number?
- The practice phone number listed in the NPPES registry for River City Medical and Arthritis Center LLC is (601) 501-6991.
- Does River City Medical and Arthritis Center LLC accept Medicare?
- River City Medical and Arthritis Center LLC 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 River City Medical and Arthritis Center LLC?
- The authorized official listed on River City Medical and Arthritis Center LLC's NPPES record is Dedri Ivory, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is River City Medical and Arthritis Center LLC's NPI active?
- Yes — River City Medical and Arthritis Center LLC's NPI (1508229378) is active in the NPPES registry as of the last update on 2017-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.