Individual provider Active NPI

W Paul Wilcox, M.D.

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1275538761
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05864 Issued in MS
Practice address
2024 15TH St FL 2
Meridian, MS 39301-4130
Phone
(601) 553-2000
Fax
(601) 553-6940
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05864 MS Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00123653MedicaidMS

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
I20061108000725 MS Practitioner - Family Practice 4688671449 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05864MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Medical Associates, PA Family Medicine CurrentSince Oct 1, 2006 Accepting new patients

Locations

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1275538761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 15TH ST FL 2",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014130",
            "telephone_number": "601-553-2000",
            "fax_number": "601-553-6940"
        },
        {
            "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": "601-553-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "W",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "05864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123653",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.