William Jacob Weller, M.D.
Individual provider Active NPI Orthopaedic Hand Surgery Physician · Southaven, MS
NPI 1013278084 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1013278084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Hand Surgery Physician 207XS0106X
- License
- 57285 (TN)
- Practice address
- 7545 Airways Blvd
Southaven, MS 38671-5806 - Phone
- (901) 759-3100
- NPI assigned
- Jun 6, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Medicare Care Compare profile
- Specialty
- Hand Surgery
- Education
- Rush Medical College of Rush University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell Clinic, PC
Texas Health Care PLLC
Practice addresses (Care Compare)
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
5612 Edwards Ranch Rd
Fort Worth, TX 76109-4138
Phone (817) 991-1745
7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MS, TN, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180724001046 | MS | Practitioner - Hand Surgery |
8527204312 | Reassigns benefits to 1 organization |
| I20181129003399 | TN | Practitioner - Hand Surgery |
8527204312 | Reassigns benefits to 1 organization |
| I20251204000905 | TX | Practitioner - Hand Surgery |
8527204312 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W0328 | TX | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Campbell Clinic, PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Texas Health Care, P.L.L.C. | Orthopaedic Surgery | Current |
Accepting new patients |
| Texas Health Care, P.L.L.C. | Orthopaedic Surgery | Current |
Accepting new patients |
| Campbell Clinic PC | Current |
Accepting new patients | |
| CC Bpci PLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2608 S Lamar Blvd
Ste 102
Oxford, MS 38655
7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196
1458 W Poplar Ave
Ste 100
Collierville, TN 38017
Phone (901) 759-5491
1535 Vann Dr
Jackson, TN 38305
Phone (731) 984-9944
1211 Union Ave
Ste 500
Memphis, TN 38104
Phone (901) 759-3275
7887 Wolf River Blvd
Memphis, TN 38138
Phone (901) 759-3180
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
5612 Edwards Ranch Rd
Ste 200
Fort Worth, TX 76109
Phone (901) 409-5994
5612 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 420-9238
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855
Interoperability endpoints
- william.weller.p1@direct.thc.nextgenshare.com
- wjweller@cco1043.srs-direct.com
- wweller35027@mlh.direct-ci.com
- william.weller.1@1366.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 57285 | TN | Yes |
| Orthopaedic Hand Surgery Physician | 207XS0106X | W0328 | TX |
Addresses
Primary practice location
7545 Airways Blvd
Southaven, MS 38671-5806
Mailing address
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
Other practice location 1
8000 Centerview Pkwy Ste 500
Cordova, TN 38018-4254
Phone (901) 759-3100
Other practice location 2
1458 W Poplar Ave Ste 100
Collierville, TN 38017-0630
Phone (901) 759-3100
Other practice location 3
1211 Union Ave Ste 500
Memphis, TN 38104-6656
Phone (901) 759-3100
Other practice location 4
5612 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4146
Phone (901) 409-5994
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100231278 | Medicaid | MS | |
| Q045692 | Medicaid | TN | |
| 00956761 | Medicaid | MS |
Other providers in Southaven, MS
- Magdi S Wassef
- Katherine Watson
- Callie Claire Watts
- Beverly P. Weaver
- Dawn Webb
- Wellness Clinic, P.C.
- Chelcey Rennee Wells
- Kenji Jermaine Wells
- Willie Johnathan Wells
- Robert James Wenzler
All providers in Southaven, MS · Orthopaedic Hand Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.