River City Family Medicine and Weight Management Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RIVER CITY FAMILY MEDICINE AND WEIGHT MANAGEMENT CLINIC, LLC

Practice address

3211 Wisconsin Ave Ste a
Vicksburg, MS 39180-5635

Phone

(769) 203-0401

NPI assigned

Jun 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lameka Miller, NP

Title

FNP

Phone

(769) 203-0401

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1083345672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391810492",
            "telephone_number": "769-203-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 WISCONSIN AVE STE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805635",
            "telephone_number": "769-203-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY FAMILY MEDICINE AND WEIGHT MANAGEMENT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAMEKA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "769-203-0401",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RIVERCITYFAMILYMEDICINE39180@GMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3211 Wisconsin Ave # 1",
            "city": "Vicksburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391805635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• River City Dermatology and Aesthetics LLC
• River City Medical and Arthritis Center LLC
• River Oaks Management Company, LLC
• River Physicians Group, LLC
• River Region Health System
• River Region Health System

• Primary Care Clinic/Center in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.