Henry C Waterer III, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

11093 Issued in MS

Practice address

501 Marshall St
Ste 104
Jackson, MS 39202-1651

Phone

(601) 969-6404

Fax

(601) 973-4541

NPI assigned

Jul 13, 2006

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

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Mississippi School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Foundation of Central Mississippi IncGroup PAC ID 1153216411, 274 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
• Baptist Medical Center Attala Hospital, Kosciusko, MS, CCN 251336
• Baptist Medical Center-Yazoo Hospital, Yazoo City, MS, CCN 251313
• Baptist Medical Center-Leake Hospital, Carthage, MS, CCN 251315
• University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hwaterer149094@direct.bmhcc.org

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.

• Medical Foundation of Central Mississippi, Inc.

  dba Baptist Medical Clinics

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1992774814

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Baptist Medical Center - Yazoo, Inc

  • Critical Access Hospital
  • Yazoo City, MS
  • NPI 1619918075
  Medicare reassignment NPD
• Mississippi Baptist Medical Center, Inc.

  dba MBMC - Neuro Hospitalists

  • Neurology Physician
  • Jackson, MS
  • NPI 1467589556
  Medicare reassignment NPD
• Baptist Medical Center - Yazoo, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Yazoo City, MS
  • NPI 1063620870
  NPD
• Medical Foundation of Central Ms

  dba Baptist Medical Clinic-Brandon

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1114264264
  NPD
• Mississippi Baptist Medical Center, Inc.

  • Community/Retail Pharmacy
  • Jackson, MS
  • NPI 1255882890
  NPD
• Brandon Hma LLC

  dba Merit Health Rankin

  • Psychiatric Hospital Unit
  • Brandon, MS
  • NPI 1427098391
  NPD (past)
• St. Dominic Jackson Memorial

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1235173691
  NPD (past)

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

• Baptist Medical Center - Yazoo, Inc

  • Critical Access Hospital
  • Yazoo City, MS
  • NPI 1619918075
  Care Compare affiliation
• Baptist Medical Center-Leake Inc

  • Critical Access Hospital
  • Carthage, MS
  • NPI 1205112539
  Care Compare affiliation
• BMC - Attala, LLC

  dba Baptist Medical Center - Attala

  • Critical Access Hospital
  • Kosciusko, MS
  • NPI 1730566027
  Care Compare affiliation
• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1326064601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "STE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-969-6404",
            "fax_number": "601-973-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "STE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-969-6404",
            "fax_number": "601-973-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERER",
        "first_name": "HENRY",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "11093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117115",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jammayette Washington
• Lakita Nicole Washington
• Mitchell Washington, PCMHT
• Olivia Washington, PHARMD
• SE'Deidrui K Washington
• Rebecca Rieves Waterer, M.D.
• Kimbell Bingham Waters, LCSW
• Watershed Counseling Associates, PLLC
• Angela Watkins
• Beonka Watkins

• Cardiovascular Disease Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Cardiovascular Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
• 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.