Active NPI
Ralph E. Williams, M.D.
- Diagnostic Radiology Physician
- Meridian, MS
National Provider Identifier
1053307256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 09813
- Practice address
- 1800 12TH St
Rush Medical Group Inc.
Meridian, MS 39301-4158 - Phone
- (601) 703-9544
- Fax
- (601) 703-9936
- NPI assigned
- Sep 22, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 09813 | MS | Primary |
Addresses
Primary practice location
1800 12TH St
Rush Medical Group Inc.
Meridian, MS 39301-4158
Mailing address
1800 12TH St
Rush Medical Group Inc.
Meridian, MS 39301-4158
Phone (601) 703-9544
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73012112 | Other | BLUE CROSS OF AL | |
| 009003200 | Other | ALABAMA MEDICAID | |
| 00014620 | Medicaid | MS | |
| 300021899 | Other | RAILROAD MEDICARE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Center at Gloster Creek Village PLLC | Diagnostic Radiology | 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.
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1417907536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1053307256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 12TH ST",
"address_2": "RUSH MEDICAL GROUP INC.",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014158",
"telephone_number": "601-703-9544",
"fax_number": "601-703-9936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 12TH ST",
"address_2": "RUSH MEDICAL GROUP INC.",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014158",
"telephone_number": "601-703-9544",
"fax_number": "601-703-9936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RALPH",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "09813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AL",
"identifier": "73012112",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA MEDICAID",
"identifier": "009003200",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014620",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300021899",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.