Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Akeso Group - Vicksburg

Organization Anesthesiology Physician · NPI 1366746588

The Akeso Group - Vicksburg is an Anesthesiology Physician in Vicksburg, Mississippi. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone: (601) 883-5000
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1366746588
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Akeso Group
Authorized official Johnathan Isom — Ceo · (901) 797-9711
NPI enumeratedJanuary 3, 2011
Last updated in NPPESJanuary 3, 2011
Mailing address5744 Nanjack Cir, Memphis, TN 38115-2061

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