Whitney William Healthcare, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WHITNEY WILLIAM HEALTHCARE, LLC

Practice address

1290 Caroline Dr
Terry, MS 39170-5000

Phone

(601) 944-1717

Fax

(601) 944-9780

NPI assigned

Dec 8, 2012

Last updated

Dec 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Grissett

Title

Billing Manager

Phone

(601) 944-1717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354924800000",
    "number": "1467797001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CAROLINE DR",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391705000",
            "telephone_number": "601-944-1717",
            "fax_number": "601-944-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 CAROLINE DR",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391705000",
            "telephone_number": "601-944-1717",
            "fax_number": "601-944-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY WILLIAM HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-08",
        "last_updated": "2012-12-08",
        "status": "A",
        "authorized_official_last_name": "GRISSETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "601-944-1717"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TF Community Mental Health LLC
• Candace Elease Thomas Harvey
• Shavonn R. Watkins, PH.D.
• Emilie Jo Weaver
• Betty Swain Weiss
• Franklin Winfield
• Douglas L Yeager, MD
• Aga Daneen Young, PHYSICIAN ASSISTANT

• Internal Medicine Physician in Terry, MS
• Providers in Terry, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.