Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Vicksburg Clinic LLC

Family Medicine Physician in Vicksburg, MS · enumerated 2006 · authorized official Debbie Brewer, Director of Provider Enrollment.

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

National Provider Identifier

1992722482

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Registry record

Entity type Organization (Type 2)

Legal business name Vicksburg Clinic LLC

Practice address 2100 Highway 61 N, Vicksburg, MS, 39183

Phone (601) 883-5000

Enumeration date Jul 17, 2006

Last updated in NPPES Jun 9, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Debbie Brewer

Title Director of Provider Enrollment

Phone (877) 892-9813

Other identifiers

Identifier	Type	State	Issuer
09015545	Medicaid	MS	-
1444618	Medicaid	LA	-
00720204	Medicaid	MS	-
09015548	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 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 2008-06-09. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-09.