Warrington Clinic, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WARRINGTON CLINIC, P.A.

Practice address

1022 Martin Luther King Drive
Pob 289
Marks, MS 38646

Phone

(662) 326-3500

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Edwin Waller, M.D.

Title

Vice President

Phone

(662) 326-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1164573176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 MARTIN LUTHER KING DRIVE",
            "address_2": "POB 289",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "38646",
            "telephone_number": "662-326-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MARTIN LUTHER KING DRIVE",
            "address_2": "POB 289",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "38646",
            "telephone_number": "662-326-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRINGTON CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "662-326-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9011104",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patsy Ann Thompson, APN
• Joseph Tubbs, FNP
• Loretta Walker
• Richard Edwin Waller, M.D.
• Warrington Clinic
• Jennifer Whitaker
• Patricia Wright Hankins

• All providers in Marks, MS
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.