Individual provider Active NPI

William C Carr Jr., M.D.

  • Internal Medicine Physician
  • Starkville, MS
National Provider Identifier
1154300135
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15856 Issued in MS
Practice address
400 Hospital Rd
Starkville, MS 39759-2163
Phone
(662) 615-2503
Fax
(662) 615-2554
NPI assigned
Jan 10, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 2008023872 MO
Internal Medicine Physician 207R00000X 15856 MS Primary

Addresses

Primary practice location

400 Hospital Rd
Starkville, MS 39759-2163

Mailing address

1818 Timber Creek Rd.
Starkville, MS 39759
Phone (662) 338-5053

Other identifiers 2

IdentifierTypeStateIssuer
00119628MedicaidMS
1154300135MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MO, IL4 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
I20070212000055 MS Practitioner - Internal MedicinePractitioner - Emergency Medicine 6800898487
I20081013000581 MO Practitioner - Emergency MedicinePractitioner - Internal Medicine 6800898487 Reassigns benefits to 1 organization
I20210719000097 IL Practitioner - Internal Medicine 6800898487 Reassigns benefits to 3 organizations
I20250403000308 IL Practitioner - Emergency Medicine 6800898487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rush Medical College of Rush University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Hospital DistrictGroup PAC ID 7719898071, 71 clinicians
Midwest Emergency Sparta, Inc.Group PAC ID 0345481255, 13 clinicians

Practice addresses (Care Compare)

1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 546-5600

818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-2177

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP923KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Sparta, Inc Emergency Medicine CurrentSince Jul 15, 2021 Accepting new patients
Emergency Physicians of St. Luke's, LLC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Crawford Hospital District CurrentSince Mar 29, 2025 Accepting new patients
Crawford Hospital District CurrentSince Mar 29, 2025 Accepting new patients
Salem Township Hospital CurrentSince May 26, 2021 Accepting new patients
Salem Township Hospital CurrentSince May 26, 2021 Accepting new patients
Crawford Hospital District Internal Medicine Current Accepting new patients
Winston County Medical Foundation Past Accepting new patients
Physician Specialists of St Lukes LLC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
North County Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Salem Township Hospital Past Accepting new patients
Muskingum Emergency Physicia Emergency Medicine Past Accepting new patients

Locations

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Organizations & group practices 13

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 13

Hospital & facility affiliations 3

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1154300135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 TIMBER CREEK RD.",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-338-5053",
            "fax_number": "662-615-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592163",
            "telephone_number": "662-615-2503",
            "fax_number": "662-615-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2008023872",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119628",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154300135",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.