William Alton Shaw, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902208 Issued in MS

Practice address

213 Caldwell Dr
Hazlehurst, MS 39083-2711

Phone

(601) 894-4661

NPI assigned

Nov 15, 2017

Last updated

Nov 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RH Hospitalist Medicine of Walthall General LLCGroup PAC ID 2365881091, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Walthall County General Hospital Cah Hospital, Tylertown, MS, CCN 251324

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RH Hospitalist Medicine of Walthall General LLC

  • Hospitalist Physician
  • Tylertown, MS
  • NPI 1053173237
  Medicare reassignment Care Compare group NPD
• Copiah County Medical Center

  dba Crystal Springs Clinic

  • Rural Health Clinic/Center
  • Crystal Springs, MS
  • NPI 1972603819
  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family

  Medicare reassignment NPD
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  Medicare reassignment NPD
• RH Emergency Medicine of Highland Community LLC

  • Emergency Medicine Physician
  • Picayune, MS
  • NPI 1033987946
  Medicare reassignment NPD
• RH Emergency Medicine of Jefferson Davis LLC

  • Emergency Medicine Physician
  • Prentiss, MS
  • NPI 1356103527
  Medicare reassignment NPD
• RH Emergency Medicine of Walthall General LLC

  • Emergency Medicine Physician
  • Tylertown, MS
  • NPI 1336901511
  Medicare reassignment NPD
• RH Hospitalist Medicine of Jefferson Davis LLC

  • Hospitalist Physician
  • Prentiss, MS
  • NPI 1174385355
  Medicare reassignment NPD
• Copiah County Medical Center

  dba Hazlehurst Clinic

  • Family Medicine Physician
  • Hazlehurst, MS
  • NPI 1356448591
  NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Trustcare Primary Care, LLC

  dba TrustCare Health, LLC

  • Family Medicine Physician
  • Madison, MS
  • NPI 1174078554
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Walthall General Hospital

  • Critical Access Hospital
  • Tylertown, MS
  • NPI 1023326485
  Care Compare affiliation
• Walthall General Hospital

  dba Walthall Rural Health Clinic

  • Critical Access Hospital
  • Tylertown, MS
  • NPI 1255649604
  Care Compare affiliation

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1316450125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CHURCH ST",
            "city": "WESSON",
            "state": "MS",
            "postal_code": "391918914",
            "telephone_number": "601-643-5808",
            "fax_number": "601-643-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832711",
            "telephone_number": "601-894-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "WILLIAM",
        "middle_name": "ALTON",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne A. Roberts
• Kathleen Mary Rose, R.PH.
• Michael Henry Rose, RPH
• Cassidy Sasser
• Senior Solutions LLC
• Leslie Curtis Sims, MOTR/L
• Smile Design Orthodontics, LLC
• Regina Smith
• Remonica Smith
• Katrina Martinez Smythe, PHARM. D

• Family Nurse Practitioner in Hazlehurst, MS
• Providers in Hazlehurst, 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 Nov 15, 2017; 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.

Verify at the official NPI Registry.