Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Medical Associates of Vicksburg PLLC

Organization Internal Medicine Physician · NPI 1508278177

Medical Associates of Vicksburg PLLC provides Internal Medicine Physician services in Vicksburg, Mississippi. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2080 S Frontage Rd
Vicksburg, MS 39180-5328 Not confirmed with CMS for 12 years — call before visiting
Phone: (601) 262-1000
Fax: (601) 262-1006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1508278177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Pierce — Llc Member · (601) 262-1000
NPI enumeratedMay 29, 2014
Last updated in NPPESMay 29, 2014
Mailing address2080 S Frontage Rd, Vicksburg, MS 39180-5328

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