Active NPI
David Brice Wheat, MD
- Family Medicine Physician
- Clinton, MS
National Provider Identifier
1487697561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 09202
- Practice address
- 309 A Morrison Dr
Clinton, MS 39056 - Phone
- (601) 924-1877
- Fax
- (601) 924-1871
- NPI assigned
- Jun 14, 2006
- Last updated
- Dec 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 09202 | MS | Primary |
Addresses
Primary practice location
309 A Morrison Dr
Clinton, MS 39056
Mailing address
309 A Morrison Dr
Clinton, MS 39056
Phone (601) 924-1877
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201941681 | Other | MS | UNITED HEALTH CARE |
| 201941681 | Other | MS | AETNA |
| P00250596 GRP DD7799 | Other | MS | RAILROAD MEDICARE |
| 201941681 | Other | MS | BLUE CROSS BLUE SHIELD |
| 0114637 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
309 A Morrison Dr
Clinton, MS 39056-5239
Phone (601) 924-1877
Hospital & facility affiliations
- Mississippi Homecare of Jackson
- Adoration Home Health
- Arden Home Health of West Ms, LLC
- Mississippi Baptist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09202 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Family Care LLC | Family Medicine | Current | Accepting new patients |
Locations
309A Morrison Dr
Clinton, MS 39056
Phone (601) 708-8390
501 Springridge Rd
Clinton, MS 39056
Phone (601) 924-1871
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Clinton, MS
- NPI 1396811527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Belzoni, MS
- NPI 1649295684
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
dba Mississippi HomeCare / Jackson
- Home Health Agency
- Jackson, MS
- NPI 1730373275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1487697561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 A MORRISON DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "39056",
"telephone_number": "601-924-1877",
"fax_number": "601-924-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 A MORRISON DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "39056",
"telephone_number": "601-924-1877",
"fax_number": "601-924-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEAT",
"first_name": "DAVID",
"middle_name": "BRICE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "09202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "201941681",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "201941681",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00250596 GRP DD7799",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "201941681",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0114637",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.