OrganizationActive
Super Shots Mobile Flu Shot Clinic
NPI 1619243359 · In Home Supportive Care Agency · Vicksburg, MS
Super Shots Mobile Flu Shot Clinic is a In Home Supportive Care Agency organization in Vicksburg, MS (NPI 1619243359).
Provider details
- NPI number
- 1619243359
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shenicia Sorrels, Owner/Operator(769) 203-2711
- License
- P320988 (MS)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
109 Belva Dr
Vicksburg, MS 39180-8928
Phone: (769) 203-2711
Street-level locationGet directions
Mailing address
109 Belva Dr
Vicksburg, MS 39180-8928
Registry dates
- Enumerated
- 2012-03-27
- Last updated
- 2012-03-27
Frequently asked questions
- What is Super Shots Mobile Flu Shot Clinic's NPI number?
- Super Shots Mobile Flu Shot Clinic's National Provider Identifier (NPI) is 1619243359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Super Shots Mobile Flu Shot Clinic?
- Super Shots Mobile Flu Shot Clinic is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Super Shots Mobile Flu Shot Clinic located?
- Super Shots Mobile Flu Shot Clinic's practice location on file with NPPES is 109 Belva Dr, Vicksburg, MS 39180-8928.
- What is Super Shots Mobile Flu Shot Clinic's phone number?
- The practice phone number listed in the NPPES registry for Super Shots Mobile Flu Shot Clinic is (769) 203-2711.
- Who is the authorized official for Super Shots Mobile Flu Shot Clinic?
- The authorized official listed on Super Shots Mobile Flu Shot Clinic's NPPES record is Shenicia Sorrels, Owner/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Super Shots Mobile Flu Shot Clinic's NPI active?
- Yes — Super Shots Mobile Flu Shot Clinic's NPI (1619243359) is active in the NPPES registry as of the last update on 2012-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.