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

Vine Medical Associates LLC

Organization Infectious Disease Physician · NPI 1497098651

Vine Medical Associates LLC is an Infectious Disease Physician in Vicksburg, Mississippi. Registered with an NPI since 2013.

In the registry since
2013
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 →

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

Infectious Disease Physician (primary) Taxonomy 207RI0200X

Record details

NPI number1497098651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olatunji Oluwatade — Ceo · (601) 883-5000
NPI enumeratedApril 5, 2013
Last updated in NPPESApril 5, 2013
Mailing addressPo Box 1547, Sedalia, MO 65302-1547