Individual provider Active NPI

William Greg Thaggard, M.D.

  • Gastroenterology Physician
  • Meridian, MS
National Provider Identifier
1114923547
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12547 Issued in MS
Practice address
2024 15TH St FL 2
Meridian, MS 39301-4130
Phone
(601) 553-2000
Fax
(601) 553-6746
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12547 MS Primary

Addresses

Primary practice location

2024 15TH St FL 2
Meridian, MS 39301-4130

Mailing address

PO Box 749215
Atlanta, GA 30374-9215
Phone (901) 226-3186

Other identifiers 1

IdentifierTypeStateIssuer
00123654MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000229 MS Practitioner - Gastroenterology 4082619697 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Mississippi School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians
Anderson Physician Alliance IncGroup PAC ID 3274727318, 69 clinicians

Practice addresses (Care Compare)

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700

2024 15TH St
FL 2
Meridian, MS 39301-4130
Phone (601) 553-2000

2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy175
Upper gastrointestinal (GI) endoscopy for acid reflux295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12547MSMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Medical Associates, PA Gastroenterology CurrentSince Oct 1, 2006 Accepting new patients
Medical Foundation, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Anderson Regional Medical Center CurrentSince Feb 1, 2018 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Anderson Physician Alliance, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Medical Foundation, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Meridian Hma LLC Past Accepting new patients
Meridian Hma LLC Past Accepting new patients
East Mississippi Endoscopy Center LLC PastSince Sep 5, 1996 Accepting new patients

Locations

1102 Constitution Ave
#F
Meridian, MS 39301
Phone (601) 693-2511

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

2024 15th St
Fl 2
Meridian, MS 39301
Phone (601) 553-2000

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

Interoperability endpoints

  • Direct secure messaging: w.thaggard@mer.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: wthaggard625857@direct.bmhcc.org

Organizations & group practices 9

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.

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1114923547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749215",
            "telephone_number": "901-226-3186",
            "fax_number": "901-226-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 15TH ST FL 2",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014130",
            "telephone_number": "601-553-2000",
            "fax_number": "601-553-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAGGARD",
        "first_name": "WILLIAM",
        "middle_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "12547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123654",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.