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Good Samaritan Physical Therapy,Inc.

Comprehensive Outpatient Rehabilitation Facility (CORF) in Vicksburg, MS · enumerated 2006 · authorized official Fermika Smith, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023087855

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Registry record

Entity type Organization (Type 2)
Legal business name Good Samaritan Physical Therapy,Inc.
Practice address 1901 Mission 66, Suite A, Vicksburg, MS, 39180
Phone (601) 638-4076
Fax (601) 638-4979
Enumeration date Mar 15, 2006
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

261QR0401X Comprehensive Outpatient Rehabilitation Facility (CORF) Ambulatory Health Care Facilities Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332BC3200X Customized Equipment (DME) Suppliers Secondary
332BN1400X Nursing Facility Supplies (DME) Suppliers Secondary
332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers Secondary
332BX2000X Oxygen Equipment & Supplies (DME) Suppliers Secondary

Authorized official

Name Fermika Smith
Title Billing Manager
Phone (601) 638-4076

Other identifiers

Identifier Type State Issuer
000050976 Other MS BLUE CROSS NUMBER
1465739 Medicaid LA -
09015117 Medicaid MS -
4253810001 Other MS DME
5429586 Other MS AETNA PROVIDER NUMBER
174112500 Other MS OWCP
6430026 Other MS UNITED HEALTH CARE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Good Samaritan Physical Therapy,Inc.?
NPPES lists Fermika Smith (Billing Manager) as the authorized official for this organization.
What is the NPI number for Good Samaritan Physical Therapy,Inc.?
The NPI for Good Samaritan Physical Therapy,Inc. is 1023087855, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.