Active NPI
Walter M Burnett, M.D.
- Family Medicine Physician
- Yazoo City, MS
National Provider Identifier
1093801227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 09770
- Practice address
- 823 Grand Ave
Yazoo City, MS 39194-3233 - Phone
- (662) 751-8289
- Fax
- (662) 751-8279
- NPI assigned
- Oct 5, 2006
- Last updated
- Nov 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 09770 | MS | Primary |
Addresses
Primary practice location
823 Grand Ave
Yazoo City, MS 39194-3233
Mailing address
PO Box 11407 Dept 1998
Birmingham, AL 35246-1998
Phone (662) 751-8289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00114468 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- KDH Primary Care
Practice addresses (Care Compare)
823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 157-8158
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients |
Locations
748 E Fifteenth St
Yazoo City, MS 39194
Phone (662) 746-9818
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
Interoperability endpoints
- wburnett153456@direct.bmhcc.org
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Yazoo City, MS
- NPI 1619918075
-
- Medicare Defined Swing Bed Hospital Unit
- Yazoo City, MS
- NPI 1063620870
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Yazoo City, MS
- NPI 1619918075
-
dba Adoration Home Health and Hospice Care Mississippi
- Home Health Agency
- Indianola, MS
- NPI 1154304491
-
- Home Health Agency
- Belzoni, MS
- NPI 1649295684
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
dba Mississippi HomeCare / Jackson
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
dba AccentCare Home Health of Jackson
- Home Health Agency
- Clinton, MS
- NPI 1356482749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1093801227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407 DEPT 1998",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352461998",
"telephone_number": "662-751-8289",
"fax_number": "662-751-8279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 GRAND AVE",
"city": "YAZOO CITY",
"state": "MS",
"postal_code": "391943233",
"telephone_number": "662-751-8289",
"fax_number": "662-751-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "WALTER",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "09770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00114468",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yazoo City, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.