Vicksburg Clinic Llc is a Neurology Clinic in Vicksburg, Mississippi. It is located at 2100 Highway 61 N, Vicksburg, MS and its contact number is 601-883-5000. The authorized person for Vicksburg Clinic Llc is Debbie T Brewer
who is Director Of Provider Enrollment of the clinic and his/her contact number is 877-892-9813. Other organizations associated with this clinic are River Region Health System, Vicksburg Clinic Llc,
Vicksburg Clinic Llc Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Vicksburg Clinic Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Vicksburg Clinic Llc |
| Specialization: | Neurology |
| Clinic Address: | 2100 Highway 61 N, Vicksburg,
Mississippi, 39183-8211 |
| Phone: | 601-883-5000 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Debbie T Brewer |
| Position: | Director Of Provider Enrollment |
| Contact Number: | 877-892-9813 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Vicksburg Clinic Llc clinic are as mentioned below.
| NPI Number: | 1992722482 |
| NPI Enumeration Date: | 17 Jul, 2006 |
| NPI Last Update On: | 09 Jun, 2008 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Vicksburg Clinic Llc | Neurology | 1992722482 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vicksburg Clinic Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Neurology | | | Secondary | |
| Internal Medicine | | | Secondary | |
| Obstetrics & Gynecology | | | Secondary | |
| Gastroenterology | | | Secondary | |
| Pediatrics | | | Secondary | |
| Surgery | | | Secondary | |
| Cardiovascular Disease | | | Secondary | |
| Pulmonary Disease | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 09015545 | Medicaid | Mississippi | |
| 1444618 | Medicaid | Louisiana | |
| 00720204 | Medicaid | Mississippi | |
| 09015548 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Vicksburg Clinic Llc
2100 Highway 61 N,
Vicksburg, Mississippi |
| Zip: | 39183-8211 |
| Phone Number: | 601-883-5000 |
Patients can reach Vicksburg Clinic Llc at
2100 Highway 61 N, Vicksburg, Mississippi or can
call to book an appointment on 601-883-5000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.