Organization
ATTICUS GROUP LLC
Active
Organization
ATTICUS GROUP LLC
Active
Other names
Vital Care of Central Mississippi
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DOUGLAS HEGI (PRESIDENT)
(769) 798-7748
Entity
Organization
Contact information
Practice address
159 FOUNTAINS BLVD, SUITE B, MADISON, MS 39110-6344
(601) 859-8200
(601) 859-1057
Mailing address
159 FOUNTAINS BLVD STE B, MADISON, MS 39110-6344
(601) 859-8200
(601) 859-8201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
12242/2.1
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
12242/2.1
MS
333600000X
Pharmacy
06155081
MS
3336C0004X
Compounding Pharmacy
12242/2.1
MS
3336H0001X
Home Infusion Therapy Pharmacy
Primary
12242/2.1
MS
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06155081
MEDICAID PHARMACY
MS
Enumeration date
05/23/2013
Last updated
07/17/2026
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