Active NPI
Vibha Vig, M.D.
- Pediatrics Physician
- Canton, MS
National Provider Identifier
1689619405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 13655
- Practice address
- Sunshine Medical Clinic
1883 Hwy 43 S. Suite G
Canton, MS 39046 - Phone
- (601) 855-5287
- Fax
- (601) 855-5130
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13655 | MS | Primary |
Addresses
Primary practice location
Sunshine Medical Clinic
1883 Hwy 43 S. Suite G
Canton, MS 39046
Mailing address
PO Box 626
Canton, MS 39046-0626
Phone (601) 855-5287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115515 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13655 | MS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibha Vig MD PA | Past | Accepting new patients | |
| Vibha Vig MD PA | Past | Accepting new patients | |
| Vibha Vig MD PA | Past | Accepting new patients |
Organizations & group practices 3
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
- Yazoo City, MS
- NPI 1013233857
-
- Primary Care Clinic/Center
- Canton, MS
- NPI 1255413639
-
- Primary Care Clinic/Center
- Carthage, MS
- NPI 1255424016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1689619405",
"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": "601-855-5287",
"fax_number": "601-855-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUNSHINE MEDICAL CLINIC",
"address_2": "1883 HWY 43 S. SUITE G",
"city": "CANTON",
"state": "MS",
"postal_code": "39046",
"telephone_number": "601-855-5287",
"fax_number": "601-855-5130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIG",
"first_name": "VIBHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "13655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115515",
"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 Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.