Individual provider Active NPI

Maurice L Prince Jr., MD

  • Emergency Medicine Physician
  • Vicksburg, MS
National Provider Identifier
1922040484
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
31352 Issued in MS
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

Updated by the provider on May 11, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1485454MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AL, TX, MS, MN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040309000472 LA Practitioner - Emergency MedicinePractitioner - Family Practice 7911895172 Reassigns benefits to 12 organizations
I20180712002836 AL Practitioner - Emergency Medicine 7911895172 Reassigns benefits to 1 organization
I20230929001588 TX Practitioner - Emergency Medicine 7911895172 Reassigns benefits to 2 organizations
I20240919002876 MS Practitioner - Emergency Medicine 7911895172 Reassigns benefits to 3 organizations
I20241125003141 MN Practitioner - Family Practice 7911895172 Reassigns benefits to 1 organization

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
Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians
Natchez HB Medical Services LLCGroup PAC ID 8921461286, 30 clinicians

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

LicenseStateTypeSpecialty
36981ALMDEmergency Medicine Physician
023832LAMDEmergency Medicine Physician
31352MSMDEmergency Medicine Physician
U2737TXMDEmergency Medicine Physician
7839MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eunice Emergency Group LLC Emergency Medicine CurrentSince Apr 1, 2011 Accepting new patients
CCM Health Current Accepting new patients
Main Street Emergency Group LLC Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Congress Emergency Group LLC Emergency Medicine CurrentSince Sep 12, 2014 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Mar 10, 2025 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Emergency Medicine CurrentSince Aug 16, 2021 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince Dec 15, 2024 Accepting new patients
Ed Physicians of West Louisiana, LLC Emergency Medicine CurrentSince Oct 15, 2013 Accepting new patients
Natchez HB Medical Services LLC Emergency Medicine CurrentSince Dec 18, 2024 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Kisatchie Emergency Group, LLC Emergency Medicine CurrentSince Mar 20, 2019 Accepting new patients
Flowers HB Medical Services LLC Emergency Medicine CurrentSince Sep 30, 2025 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Ess Hospitalist LLC CurrentSince Jun 1, 2019 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Crowley Emergency Group LLC Emergency Medicine CurrentSince Jul 4, 2018 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Dec 15, 2024 Accepting new patients
River Oaks Emergency Group, LLC Emergency Medicine CurrentSince Mar 7, 2023 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

  • Direct secure messaging: mprince838601@direct.centracare.com
  • Direct secure messaging: 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.

View all 23

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.