Organization Active NPI

Cantons Physician Group

  • Nurse Practitioner
  • Canton, MS
National Provider Identifier
1619088838
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CANTONS PHYSICIAN GROUP
Practice address
1883 Highway 43 South
Suite D
Canton, MS 39046
Phone
(601) 859-8992
Fax
(601) 855-5265
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Debbie Vogt
Title
Medical Practice Manager
Phone
(601) 859-8992

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1883 Highway 43 South
Suite D
Canton, MS 39046

Mailing address

1883 Highway 43 South
Suite D
Canton, MS 39046
Phone (601) 859-8992

Other identifiers 1

IdentifierTypeStateIssuer
09014799MedicaidMS

National Provider Directory

National Provider Directory

Locations

1863 Highway 43 S
Canton, MS 39046
Phone (601) 859-0805

1883 Highway 43 S
Ste D
Canton, MS 39046
Phone (601) 667-3492

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619088838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 HIGHWAY 43 SOUTH",
            "address_2": "SUITE D",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "39046",
            "telephone_number": "601-859-8992",
            "fax_number": "601-855-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 HIGHWAY 43 SOUTH",
            "address_2": "SUITE D",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "39046",
            "telephone_number": "601-859-8992",
            "fax_number": "601-855-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTONS PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "MEDICAL PRACTICE MANAGER",
        "authorized_official_telephone_number": "601-859-8992"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014799",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.