Individual provider Active NPI

Vibha Vig, M.D.

  • Pediatrics Physician
  • Canton, MS
National Provider Identifier
1689619405
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13655 Issued in MS
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

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00115515MedicaidMS

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

LicenseStateTypeSpecialty
13655MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.