Active NPI
Cantons Physician Group
- Nurse Practitioner
- Canton, MS
National Provider Identifier
1619088838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Podiatrist | 213E00000X | |||
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014799 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Canton, MS
- NPI 1215926423
-
- Physician Assistant
- Canton, MS
- NPI 1003909854
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.