Vicksburg Healthcare LLC
NPI 1629084058 · Anesthesiology Physician · Vicksburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vicksburg Healthcare LLC is a Anesthesiology Physician organization in Vicksburg, MS (NPI 1629084058).
Provider details
- NPI number
- 1629084058
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vicksburg Healthcare LLC
- Organization subpart
- Yes
- Authorized official
- Kristy Music, Director Provider Enrollment(615) 465-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Cytopathology Physician207ZC0500X
Allopathic & Osteopathic Physicians
- Anatomic Pathology Physician207ZP0101X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
- River Region Health System
Additional practice locations (4)
- 350 Crossgates BlvdBrandon, MS 39042-2601Phone: (601) 326-8206
- 161 River Oaks DrCanton, MS 39046-5375Phone: (601) 326-8206
- 1030 River Oaks DrFlowood, MS 39232-9553Phone: (601) 932-1030
- 1850 Chadwick DrJackson, MS 39204-3404Phone: (601) 326-8206
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2025-09-02
- Certified
- 2024-07-23
Frequently asked questions
- What is Vicksburg Healthcare LLC's NPI number?
- Vicksburg Healthcare LLC's National Provider Identifier (NPI) is 1629084058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vicksburg Healthcare LLC?
- Vicksburg Healthcare LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Vicksburg Healthcare LLC located?
- Vicksburg Healthcare LLC's practice location on file with NPPES is 2100 Highway 61 N, Vicksburg, MS 39183-8211.
- What is Vicksburg Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Vicksburg Healthcare LLC is (601) 883-5695.
- Does Vicksburg Healthcare LLC accept Medicare?
- Vicksburg Healthcare 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 Vicksburg Healthcare LLC?
- The authorized official listed on Vicksburg Healthcare LLC's NPPES record is Kristy Music, Director Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vicksburg Healthcare LLC's NPI active?
- Yes — Vicksburg Healthcare LLC's NPI (1629084058) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.