Individual provider Active NPI

Will Cauthen, M.D.

  • Surgery Physician
  • Tupelo, MS
National Provider Identifier
1417186347
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
22296 Issued in MS
Practice address
499 Gloster Creek VLG Ste S1
Tupelo, MS 38801-4708
Phone
(662) 377-6470
NPI assigned
Jul 13, 2009
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T-2193 MS
Surgery Physician 208600000X 22296 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG Ste S1
Tupelo, MS 38801-4708

Mailing address

499 Gloster Creek VLG Ste S1
Tupelo, MS 38801-4708
Phone (662) 377-6470

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
I20141211001579 MS Practitioner - General Surgery 3274855739 Reassigns benefits to 2 organizations
Practice locations: Tupelo, MS

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4579 S Eason Blvd
Tupelo, MS 38801-6539

499 Gloster Creek VLG
Tupelo, MS 38801-4600

607 Garfield St
Tupelo, MS 38801-6337
Phone (662) 377-8921

830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258

830 S Gloster St
Tupelo, MS 38801-4934

830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)14
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal31
Removal of tissue11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22296MSMDSurgery Physician
T-2193MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Services LLC CurrentSince Jul 22, 2020 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Center CurrentSince Oct 9, 2015 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 9, 2015 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center Services LLC CurrentSince Jul 22, 2020 Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients

Locations

4381 S Eason Blvd
Ste 202
Tupelo, MS 38801
Phone (662) 377-6470

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

4579 S Eason Blvd
Ste Ef
Tupelo, MS 38801
Phone (662) 377-7590

607 Garfield St
Tupelo, MS 38801
Phone (662) 377-6290

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: willcauthen@nmhs.medalliesdirect.net

Organizations & group practices 7

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1417186347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE S1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014708",
            "telephone_number": "662-377-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE S1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014708",
            "telephone_number": "662-377-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUTHEN",
        "first_name": "WILL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "T-2193",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "22296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.