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

Vicksburg Nephrology LLC

Organization Nephrology Physician · NPI 1013337658

Vicksburg Nephrology LLC is a Nephrology 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.

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Practice location Address checks out

104 McAuley Dr
Vicksburg, MS 39183-2825
Phone: (601) 738-5549
Fax: (601) 630-9120
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1013337658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Davis — Owner · (601) 738-5549
NPI enumeratedApril 22, 2014
Last updated in NPPESApril 22, 2014
Mailing addressPo Box 820663, Vicksburg, MS 39182-0663

Other providers in Vicksburg