Active NPI
William Edwin Powell, M.D.
- Family Medicine Physician
- Waynesboro, MS
National Provider Identifier
1043201858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 09594
- Practice address
- 920 Matthew Dr
Ste a
Waynesboro, MS 39367-2567 - Phone
- (601) 735-2401
- Fax
- (601) 735-5205
- NPI assigned
- Nov 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 09594 | MS | Primary |
Addresses
Primary practice location
920 Matthew Dr
Ste a
Waynesboro, MS 39367-2567
Mailing address
920 Matthew Dr
Ste a
Waynesboro, MS 39367-2567
Phone (601) 735-2401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00014356 | Medicaid | MS | |
| 73007660POW | Other | AL | BLUE CROSS & BLUE SHIELD |
| 0130143 | Other | MS | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09594 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walley Clinic PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Waynesboro, MS
- NPI 1669463584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043201858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MATTHEW DR",
"address_2": "STE A",
"city": "WAYNESBORO",
"state": "MS",
"postal_code": "393672567",
"telephone_number": "601-735-2401",
"fax_number": "601-735-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MATTHEW DR",
"address_2": "STE A",
"city": "WAYNESBORO",
"state": "MS",
"postal_code": "393672567",
"telephone_number": "601-735-2401",
"fax_number": "601-735-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "WILLIAM",
"middle_name": "EDWIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "09594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014356",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "73007660POW",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0130143",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesboro, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.