Individual provider Active NPI

William Meek Gillespie III, M.D.

  • Ophthalmology Physician
  • Columbus, MS
National Provider Identifier
1366445520
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9117 Issued in MS
Practice address
425 Hospital Dr
Ste 8
Columbus, MS 39705-1938
Phone
(662) 328-2061
Fax
(662) 328-5000
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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 9117 MS Primary

Addresses

Primary practice location

425 Hospital Dr
Ste 8
Columbus, MS 39705-1938

Mailing address

425 Hospital Dr
Ste 8
Columbus, MS 39705-1938
Phone (662) 328-2061

Other identifiers 2

IdentifierTypeStateIssuer
00011695MedicaidMS
730-00304OtherALBC/BS OF AL

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
I20110106000070 MS Practitioner - Ophthalmology 7618863234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Mississippi School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

425 Hospital Dr
Suite 8
Columbus, MS 39705-1938
Phone (662) 328-2061

Merit-based Incentive Payment System (MIPS)

Final score
13.84 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
46.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9117MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Eye Clinic and Laser Surgery Center LTD CurrentSince Nov 10, 1988 Accepting new patients
Columbus Eye Clinic & Laser Surgery Center Past Accepting new patients
Eye Laser & Surgery Center of Columbus, LLC PastSince Jan 1, 2002 Accepting new patients

Locations

425 Hospital Dr
Ste 8
Columbus, MS 39705
Phone (601) 328-2061

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1366445520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR",
            "address_2": "STE 8",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051938",
            "telephone_number": "662-328-2061",
            "fax_number": "662-328-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR",
            "address_2": "STE 8",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051938",
            "telephone_number": "662-328-2061",
            "fax_number": "662-328-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "WILLIAM",
        "middle_name": "MEEK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "9117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011695",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AL",
            "identifier": "730-00304",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.