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Organization

Vicksburg Healthcare LLC

NPI Record: ActiveAnesthesiology
NPI1629084058
Vicksburg, Mississippi

Provider's NPPES record last updated: September 2, 2025

Overview

Entity Type
Organization
NPI
1629084058
Primary Specialty
Anesthesiology
Practice Location
Vicksburg, Mississippi
Organization Subpart
Yes
Parent Organization
Vicksburg Healthcare LLC

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 3:51 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

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This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Anesthesiology

    Allopathic & Osteopathic Physicians

    Primary

    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

    Taxonomy code 207L00000X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Pathology

    Cytopathology

    Allopathic & Osteopathic Physicians

    A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.

    Taxonomy code 207ZC0500X
  • Pathology

    Anatomic Pathology

    Allopathic & Osteopathic Physicians

    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

    Taxonomy code 207ZP0101X
  • Pathology

    Clinical Pathology/Laboratory Medicine

    Allopathic & Osteopathic Physicians

    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

    Taxonomy code 207ZP0105X
  • Nurse Anesthetist, Certified Registered

    Physician Assistants & Advanced Practice Nursing Providers

    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

    Taxonomy code 367500000X
  • Anesthesiologist Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

    Taxonomy code 367H00000X

Practice Locations

Practice Location

2100 Highway 61 N

Vicksburg, Mississippi 39183-8211

Phone: (601) 883-5695

Additional Practice Location

161 River Oaks Dr

Canton, Mississippi 39046-5375

Phone: (601) 326-8206

Additional Practice Location

350 Crossgates Blvd

Brandon, Mississippi 39042-2601

Phone: (601) 326-8206

Additional Practice Location

1850 Chadwick Dr

Jackson, Mississippi 39204-3404

Phone: (601) 326-8206

Additional Practice Location

1030 River Oaks Dr

Flowood, Mississippi 39232-9553

Phone: (601) 932-1030

Other Names

  • River Region Health SystemReported July 31, 2006

Record Information

Enumeration Date
July 31, 2006
Provider's NPPES Record Last Updated
September 2, 2025
Certification Date
July 23, 2024
NPISignal NPPES Dataset
August 2026

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