NPIMap

Organization Active NPI

Vibha Vig MD PA

  • Primary Care Clinic/Center
  • Carthage, MS
National Provider Identifier
1255424016
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
13655 Issued in MS
Legal business name
VIBHA VIG MD PA
Practice address
303 Ellis St.
Carthage, MS 39051-4014
Phone
(601) 267-0544
Fax
(601) 267-5092
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Vibha Vig, M.D.NPI 1689619405
Title
Owner
Phone
(601) 855-5287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 13655 MS Primary

Addresses

Primary practice location

303 Ellis St.
Carthage, MS 39051-4014

Mailing address

PO Box 626
Canton, MS 39046-0626
Phone (601) 267-0544

Other identifiers 1

IdentifierTypeStateIssuer
09015926MedicaidMS

Other names 1

  • Sunshine Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vibha Vig MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

156 River Oaks Dr
Canton, MS 39046
Phone (601) 855-5287

230 Wyeth Ln
Yazoo City, MS 39194
Phone (662) 746-8962

110 N Jerry Clower Blvd
Ste L
Yazoo City, MS 39194
Phone (662) 746-0907

110 N Jerry Clower Blvd
Ste M
Yazoo City, MS 39194
Phone (662) 763-3750

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1255424016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460626",
            "telephone_number": "601-267-0544",
            "fax_number": "601-267-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ELLIS ST.",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514014",
            "telephone_number": "601-267-0544",
            "fax_number": "601-267-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBHA VIG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "VIG",
        "authorized_official_first_name": "VIBHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-855-5287",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "13655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015926",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.