Individual provider Active NPI

Darwin Beshan Wooten, M.D.

  • Ophthalmology Physician
  • Corinth, MS
National Provider Identifier
1275557613
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16628 Issued in MS
Practice address
3035 Corder Dr
Corinth, MS 38834-6216
Phone
(662) 286-9292
Fax
(662) 286-9293
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16628 MS Primary

Addresses

Primary practice location

3035 Corder Dr
Corinth, MS 38834-6216

Mailing address

3035 Corder Dr
PO Box 1740
Corinth, MS 38834-6216
Phone (662) 286-9292

Other identifiers 1

IdentifierTypeStateIssuer
00122436MedicaidMS

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
I20050809000897 MS Practitioner - Ophthalmology 4082643192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shipp and Wooten Eye Center PLLCGroup PAC ID 4789929332, 2 clinicians

Practice addresses (Care Compare)

306 Bradley Rd
Suite B
Corinth, MS 38834-7047
Phone 6622862020116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery630
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shipp & Wooten Eye Center PLLC Ophthalmology CurrentSince Mar 15, 2019 Accepting new patients
Specialty Surgery & Laser Center CurrentSince Oct 3, 2017 Accepting new patients

Locations

306 Bradley Rd
#B
Corinth, MS 38834
Phone (662) 286-2020

306 Bradley Rd
#A
Corinth, MS 38834
Phone 6622862020116

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1275557613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 CORDER DR",
            "address_2": "PO BOX 1740",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346216",
            "telephone_number": "662-286-9292",
            "fax_number": "662-286-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 CORDER DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346216",
            "telephone_number": "662-286-9292",
            "fax_number": "662-286-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "DARWIN",
        "middle_name": "BESHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "16628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122436",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.