Active NPI
Wayne Anthony Dotson, MD
- Specialist
- Cleveland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16994
- Practice address
- 907 E Sunflower Rd
Suite 102
Cleveland, MS 38732-2830 - Phone
- (662) 843-8880
- Fax
- (662) 843-2280
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 16994 | MS | Primary |
Addresses
Primary practice location
907 E Sunflower Rd
Suite 102
Cleveland, MS 38732-2830
Mailing address
907 E Sunflower Rd
Suite 102
Cleveland, MS 38732-2830
Phone (662) 843-8880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123301 | 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
- Orthopedic Surgery
- Education
- University of Alabama School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1693 Fairgrounds Rd
Greenville, MS 38703-7810
Phone (662) 378-3783
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Medical Group | Current | Accepting new patients | |
| Delta Physician Practices | Past | Accepting new patients |
Locations
1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783
1693 S Colorado St
Greenville, MS 38703
Phone (662) 332-3005
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Greenville, MS
- NPI 1790701134
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Greenville, MS
- NPI 1184232498
Hospital
-
dba Delta Health-The Medical Center
- Rural Acute Care Hospital
- Greenville, MS
- NPI 1306921887
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Clarksdale, MS
- NPI 1578171872
Hospital
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Cleveland, MS
- NPI 1972112183
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1184684375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 E SUNFLOWER RD",
"address_2": "SUITE 102",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322830",
"telephone_number": "662-843-8880",
"fax_number": "662-843-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E SUNFLOWER RD",
"address_2": "SUITE 102",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322830",
"telephone_number": "662-843-8880",
"fax_number": "662-843-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "WAYNE",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "16994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123301",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, MS
- Delta Vein and Artery Center, P. C.
- Delta Wound Care PLLC
- Delta Wound Care Services Inc.
- Mallory McKnight Dill
- Anna Marie Dobbins, PHARMD
- Dynamic Cleveland Operating Company LLC (Bolivar Health and Rehabiliation Center)
- Lutoya Earvin, DPC, LPC, NCC, NCSC
- De'Andrea Latrice Eason
- East-End Family Medical Clinic, LLC
- East-End Family Medical Clinic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.