Active NPI
Melissa Jean Vinson, FNP-C
- Family Medicine Physician
- Oxford, MS
National Provider Identifier
1003331893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R518921
- Practice address
- 2304 Jackson Ave W Ste 101
Oxford, MS 38655-5624 - Phone
- (662) 404-7177
- Fax
- (662) 796-3839
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R518921 | MS | Primary |
Addresses
Primary practice location
2304 Jackson Ave W Ste 101
Oxford, MS 38655-5624
Mailing address
115 Apple Blossom Dr
Saltillo, MS 38866-8730
Phone (662) 871-8584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04558541 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impacting Lives LLC | Current | Accepting new patients | |
| Impact Health LLC | Single Specialty | Past | Accepting new patients |
Locations
2304 Jackson Ave W
Ste 101
Oxford, MS 38655
Phone (662) 404-7177
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Oxford, MS
- NPI 1063370831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1003331893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 APPLE BLOSSOM DR",
"city": "SALTILLO",
"state": "MS",
"postal_code": "388668730",
"telephone_number": "662-871-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 JACKSON AVE W STE 101",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555624",
"telephone_number": "662-404-7177",
"fax_number": "662-796-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "MELISSA",
"middle_name": "JEAN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MS",
"license": "R518921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04558541",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.