Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Vicksburg Special Care Clinic LLC

Family Medicine Physician in Vicksburg, MS · enumerated 2009 · authorized official Mitchell Barrett, Owner/Member.

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

National Provider Identifier

1487988002

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Registry record

Entity type Organization (Type 2)

Legal business name Vicksburg Special Care Clinic LLC

Practice address 4077 Pemberton Square Blvd, Vicksburg, MS, 39180

Phone (601) 638-8600

Fax (601) 638-8661

Enumeration date Sep 29, 2009

Last updated in NPPES Oct 29, 2014

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mitchell Barrett

Title Owner/Member

Phone (601) 529-9341

Other identifiers

Identifier	Type	State	Issuer
01483541	Medicaid	MS	-
01123325	Medicaid	MS	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Vicksburg Special Care Clinic LLC located?

The practice location on file with NPPES is in Vicksburg, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-10-29. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Deborah Hoover Nurse Practitioner · Vicksburg, MS NPI 1396776514 Kerrie Sanders- Smith Family Nurse Practitioner · Vicksburg, MS NPI 1144695669

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-29.