Vicksburg Clinic LLC
NPI 1992722482 · Family Medicine Physician · Vicksburg, MS
Vicksburg Clinic LLC is a Family Medicine Physician organization in Vicksburg, MS (NPI 1992722482).
Provider details
- NPI number
- 1992722482
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debbie Brewer, Director of Provider Enrollment(877) 892-9813
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
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
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
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2008-06-09
Frequently asked questions
- What is Vicksburg Clinic LLC's NPI number?
- Vicksburg Clinic LLC's National Provider Identifier (NPI) is 1992722482, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- 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.
- Who is the authorized official for Vicksburg Clinic LLC?
- The authorized official listed on Vicksburg Clinic LLC's NPPES record is Debbie Brewer, Director of 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 (1992722482) is active in the NPPES registry as of the last update on 2008-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.