Active NPI
Maurice L Prince Jr., MD
- Emergency Medicine Physician
- Vicksburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 31352
- Practice address
- 2100 Highway 61 N
Vicksburg, MS 39183-8211 - Phone
- (601) 883-5111
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C1680 | KY | |
| Emergency Medicine Physician | 207P00000X | 023832 | LA | |
| Emergency Medicine Physician | 207P00000X | 36981 | AL | |
| Emergency Medicine Physician | 207P00000X | U2737 | TX | |
| Emergency Medicine Physician | 207P00000X | 31352 | MS | Primary |
Addresses
Primary practice location
2100 Highway 61 N
Vicksburg, MS 39183-8211
Mailing address
14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672
Other practice location 1
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-5911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1485454 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AL, TX, MS, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-1395
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36981 | AL | MD | Emergency Medicine Physician |
| 023832 | LA | MD | Emergency Medicine Physician |
| 31352 | MS | MD | Emergency Medicine Physician |
| U2737 | TX | MD | Emergency Medicine Physician |
| 7839 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eunice Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| CCM Health | Current | Accepting new patients | |
| Main Street Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Congress Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Emergency Medicine | Current | Accepting new patients |
| Brazos Valley Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Ed Physicians of West Louisiana, LLC | Emergency Medicine | Current | Accepting new patients |
| Natchez HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Staffing Solutions Inc | Emergency Medicine | Current | Accepting new patients |
| Kisatchie Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Flowers HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Ess Hospitalist LLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Jackson HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Crowley Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| River Oaks Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Sulphur Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
| Hospital Service District No. 2 | Past | Accepting new patients | |
| GPN-Leesville, LLC | Past | Accepting new patients |
Locations (25 of 34)
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500
400 Moosa Blvd
Eunice, LA 70535
Phone (318) 457-5244
1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311
2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441
1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
Interoperability endpoints
- mprince838601@direct.centracare.com
- maurice.prince.1@13131.direct.athenahealth.com
Organizations & group practices 23
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.
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1184305856
-
- Emergency Medicine Physician
- Natchez, MS
- NPI 1770264459
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1972283828
-
- Emergency Medicine Physician
- Navasota, TX
- NPI 1982642955
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1912316944
-
- Emergency Medicine Physician
- Crowley, LA
- NPI 1508275538
-
- Emergency Medicine Physician
- West Monroe, LA
- NPI 1255460143
-
- Emergency Medicine Physician
- Many, LA
- NPI 1477590974
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hazlehurst, MS
- NPI 1588667281
-
- General Acute Care Hospital
- Natchez, MS
- NPI 1164821559
-
- General Acute Care Hospital
- Clarksdale, MS
- NPI 1275217606
-
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1922040484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14050 NW 14TH ST",
"address_2": "SUITE 190",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232865",
"telephone_number": "800-424-3672",
"fax_number": "954-377-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838211",
"telephone_number": "601-883-5111"
}
],
"practiceLocations": [
{
"address_1": "1201 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039811",
"country_code": "US",
"telephone_number": "270-417-5911",
"fax_number": "270-417-6497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINCE",
"first_name": "MAURICE",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "C1680",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "023832",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "36981",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "U2737",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "31352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1485454",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.