Individual provider Active NPI

Daniel P Edney, MD

  • Internal Medicine Physician
  • Vicksburg, MS
National Provider Identifier
1699702936
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12271 Issued in MS
Practice address
104 McAuley Dr
Vicksburg, MS 39183-2825
Phone
(601) 638-7271
NPI assigned
Jun 26, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12271 MS Primary

Addresses

Primary practice location

104 McAuley Dr
Vicksburg, MS 39183-2825

Mailing address

104 McAuley Dr
Vicksburg, MS 39183-2825
Phone (601) 638-7271

Other identifiers 3

IdentifierTypeStateIssuer
1919292MedicaidLA
4231289OtherMSAETNA
00114108MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081105000426 MS Practitioner - Internal Medicine 1254310998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Vicksburg PLLCGroup PAC ID 3577782366, 8 clinicians

Practice addresses (Care Compare)

2080 S Frontage Rd
Suite 100
Vicksburg, MS 39180-5883
Phone (601) 262-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.2 of 100Reported as group
Quality
99.81
Improvement activities
40
Cost
72.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12271MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ms State Department of Health CurrentSince Feb 16, 2021 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Mar 1, 2009 Accepting new patients
Mississippi State Department of Health Current Accepting new patients
Ms State Dept of Health CurrentSince Feb 16, 2021 Accepting new patients
Medical Associates of Vicksburg PLLC Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Mar 1, 2009 Accepting new patients
West Mississippi Behavioral Service, LLC CurrentSince Oct 5, 2021 Accepting new patients
North Mississippi Commission on Mental Illness/ Mental Past Accepting new patients
Housecall Practitioners Inc. Past Accepting new patients
Vicksburg Clinic LLC Internal Medicine Past Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients
Careplus Lakeview Family Medicine Past Accepting new patients

Locations

1860 Chadwick Dr
Ste 102
Jackson, MS 39204
Phone (601) 262-1000

570 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 576-7345

104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271

2080 S Frontage Rd
Ste 100
Vicksburg, MS 39180
Phone (601) 262-1000

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Interoperability endpoints

  • Direct secure messaging: danieledney@fed2c3c7.micromddirect.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1699702936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MCAULEY DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832825",
            "telephone_number": "601-638-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MCAULEY DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391832825",
            "telephone_number": "601-638-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDNEY",
        "first_name": "DANIEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "12271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1919292",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4231289",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114108",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.