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

Vicksburg Medical Teams Mht LLC

Organization Family Medicine Physician · NPI 1023419801

Vicksburg Medical Teams Mht LLC is a Family Medicine Physician in Vicksburg, Mississippi. Registered with an NPI since 2014.

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

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2080 S Frontage Rd Ste 100
Vicksburg, MS 39180-5328
Phone: (601) 529-5466
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1023419801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Pierce — Owner/President · (601) 262-1000
NPI enumeratedSeptember 11, 2014
Last updated in NPPESJanuary 2, 2015
Mailing address1515 Heritage Drive, Suite 110, McKinney, TX 75069-3379

Other providers in Vicksburg