Mitchell Williams, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R871949 Issued in MS

Practice address

2464 Main St
Plantersville, MS 38862-5002

Phone

(662) 842-4877

Fax

(662) 842-4330

NPI assigned

Aug 19, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741
  Medicare reassignment NPD
• Progressive Health of Houston, LLC

  • Rural Acute Care Hospital
  • Houston, MS
  • NPI 1639936396
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  MS

  Medicare reassignment NPD
• Golden Triangle Urgent Care LLC

  • Rural Health Clinic/Center
  • Starkville, MS
  • NPI 1346592045
  Medicare reassignment
• Boa Vida Hospital of Aberdeen, Ms LLC

  • Community/Retail Pharmacy
  • Aberdeen, MS
  • NPI 1134858269
  NPD
• Children'S Health Center of Columbus, Inc.

  • Pediatrics Physician
  • Columbus, MS
  • NPI 1821185398

  Family

  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1316346992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SPRUCE CV",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388018629",
            "telephone_number": "662-231-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 MAIN ST",
            "city": "PLANTERSVILLE",
            "state": "MS",
            "postal_code": "388625002",
            "telephone_number": "662-842-4877",
            "fax_number": "662-842-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MITCHELL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R871949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rural Healthcare Developers, Inc.
• Rural Mental Health
• Margaret E Seaman, CFNP
• Tri-Vista Rehab, Inc
• Urban Healthcare Developers, LLC
• Vanessa Young

• Family Nurse Practitioner in Plantersville, MS
• Providers in Plantersville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.