James Keenan Wilson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

14441 Issued in MS

Practice address

500 Veterans Memorial Blvd S
Eupora, MS 39744-2215

Phone

(662) 258-6221

Fax

(662) 258-9291

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Calhoun Health Services

  • Critical Access Hospital
  • Calhoun City, MS
  • NPI 1801042205
  NPD (past)
• Tishomingo Health Services, Inc.

  • Clinic/Center
  • Belmont, MS
  • NPI 1295105922
  NPD (past)
• Tishomingo Health Services, Inc.

  • General Acute Care Hospital
  • Iuka, MS
  • NPI 1548376700
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1003841354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 COLLEGE ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389671901",
            "telephone_number": "662-508-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VETERANS MEMORIAL BLVD S",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442215",
            "telephone_number": "662-258-6221",
            "fax_number": "662-258-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMES",
        "middle_name": "KEENAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "14441",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "14441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113851",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Webster Health Services, Inc.
• Webster Health Services, Inc.
• Teresa Orr Whitaker, RPH
• Britney Nichole Williams, MD
• Edward Williams, MS
• Cherrie Herard Winter, CFNP
• Stephen Spencer Wooten, DDS
• Maci Claire Wright
• Brittany Yates, PT

• Emergency Medicine Physician in Eupora, MS
• Providers in Eupora, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.