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

James Keith Stanford II, MD

Individual provider Otolaryngology Physician · NPI 1063866705

James Keith Stanford II, MD is an Otolaryngology in Vicksburg, Mississippi. Graduated from University of Mississippi School of Medicine in 2016, 10 years ago. Practices with Vicksburg Clinic LLC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2200 Highway 61 N Ste 2300
Vicksburg, MS 39183-8246
Phone: (601) 883-3320
Fax: (601) 883-3326
Show map & directions

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

Additional practice locations (1)

  • 2100 Highway 61 N, Vicksburg, MS 39183-8211 — (601) 883-5000

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence T-3219 (MS)

Record details

NPI number1063866705
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2016
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Vicksburg Clinic Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vicksburg