Individual provider Active NPI

William Walton Beazley, D.O.

  • Emergency Medicine Physician
  • Wiggins, MS
National Provider Identifier
1093769648
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO.14881R Issued in LA
Practice address
1440 Central Ave E
Wiggins, MS 39577-9602
Phone
(601) 928-6700
NPI assigned
May 19, 2006
Last updated
Mar 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO.14881R LA Primary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 14984 MS

Addresses

Primary practice location

1440 Central Ave E
Wiggins, MS 39577-9602

Mailing address

1440 Central Ave E
Wiggins, MS 39577-9602
Phone (601) 928-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS, FL, LA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050421001583 AL Practitioner - Emergency Medicine 5193763845 Reassigns benefits to 5 organizations
I20051221000629 MS Practitioner - Emergency Medicine 5193763845 Reassigns benefits to 3 organizations
I20070413000572 FL Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Osteopathic Manipulative Medicine 5193763845 Reassigns benefits to 1 organization
I20140814000354 LA Practitioner - Emergency Medicine 5193763845 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foley Clinic Corp.Group PAC ID 5193741759, 86 clinicians
Ies Alabama PLLCGroup PAC ID 5395105183, 23 clinicians

Practice addresses (Care Compare)

101 E 15TH Ave
Gulf Shores, AL 36542-3501
Phone (251) 962-1250

161 W Peachtree St
Foley, AL 36535-2239
Phone (251) 970-1090

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
416ALMDMarriage & Family Therapist
DO.14881RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Alabama PLLC Emergency Medicine CurrentSince Jun 28, 2023 Accepting new patients
Wayne General Hospital Current Accepting new patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Sep 26, 2012 Accepting new patients
St Mary Emergency Group LLC Emergency Medicine CurrentSince Oct 23, 2023 Accepting new patients
St. John Emergency Group LLC Emergency Medicine CurrentSince May 15, 2018 Accepting new patients
St. Bernard Emergency Group, LLC Emergency Medicine CurrentSince Apr 23, 2018 Accepting new patients
Foley Clinic Corp CurrentSince Apr 1, 2014 Accepting new patients
Harrison Emergency Group LLC Emergency Medicine CurrentSince Oct 14, 2023 Accepting new patients
Foley Clinic Corp CurrentSince Apr 1, 2014 Accepting new patients
Wayne General Hospital CurrentSince Sep 6, 2014 Accepting new patients
Southern Rapid Healthcare Inc. Current Accepting new patients
Mobile Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 15, 2013 Accepting new patients
Mississippi Physicians LLP Emergency Medicine Current Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Magnolia Regional Health Center Emergency Medicine Current Accepting new patients
Wayne General Hospital Emergency Medicine CurrentSince Sep 6, 2014 Accepting new patients
Mississippi Physicians LLP Emergency Medicine CurrentSince Jan 27, 2012 Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
Foley Hospital Company LLC Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
Wayne General Hospital Past Accepting new patients
Wayne General Hospital Past Accepting new patients
Gulfport Emergency Physicians Emergency Medicine Past Accepting new patients
North Ms Emergency Physicians Emergency Medicine Past Accepting new patients
Wayne General Hospsital Past Accepting new patients
The Health Care Authority of Lauderdale County and the City of Florenc Past Accepting new patients
North Mississippi Baromedical Undersea and Hyperbaric Medicine Past Accepting new patients

Locations

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6907

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

161 W Peachtree Ave
Foley, AL 36535
Phone (251) 943-5511

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

101 E 15th Ave
Gulf Shores, AL 36542
Phone (251) 962-1250

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 215-4853

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

25910 Canal Rd
Ste D
Orange Beach, AL 36561
Phone (251) 974-2273

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

940 Matthew Dr
Ste 5
Waynesboro, MS 39367
Phone (601) 735-7285

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4
  • Direct secure messaging: wbeazley@yourcarecommunity.org
  • Direct secure messaging: william.beazley.2@1599.direct.athenahealth.com

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1093769648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779602",
            "telephone_number": "601-928-6700",
            "fax_number": "601-928-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779602",
            "telephone_number": "601-928-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAZLEY",
        "first_name": "WILLIAM",
        "middle_name": "WALTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "DO.14881R",
            "primary": true
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "MS",
            "license": "14984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiggins, MS

Sources for this page

Verify at the official NPI Registry.