Vicksburg Clinic LLC
NPI 1790915395 · Rural Health Clinic/Center · Vicksburg, MS
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vicksburg Clinic LLC is a Rural Health Clinic/Center organization in Vicksburg, MS (NPI 1790915395).
Provider details
- NPI number
- 1790915395
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Vicksburg Clinic LLC
- Organization subpart
- Yes
- Authorized official
- Kristina Music, Director Provider Enrollment(877) 892-9815
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
- River Region Rural Health - Mob1
Registry dates
- Enumerated
- 2009-07-17
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Frequently asked questions
- What is Vicksburg Clinic LLC's NPI number?
- Vicksburg Clinic LLC's National Provider Identifier (NPI) is 1790915395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vicksburg Clinic LLC?
- Vicksburg Clinic LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vicksburg Clinic LLC located?
- Vicksburg Clinic LLC's practice location on file with NPPES is 2100 Highway 61 N, Vicksburg, MS 39183-8211.
- What is Vicksburg Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Vicksburg Clinic LLC is (601) 883-5000.
- Does Vicksburg Clinic LLC accept Medicare?
- Vicksburg Clinic 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 Clinic LLC?
- The authorized official listed on Vicksburg Clinic LLC's NPPES record is Kristina Music, Director Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vicksburg Clinic LLC's NPI active?
- Yes — Vicksburg Clinic LLC's NPI (1790915395) is active in the NPPES registry as of the last update on 2024-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.