Active NPI
William Edward Seely III, M.D.
- Interventional Pain Medicine Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 54063
- Practice address
- 219 Stonebridge Blvd
Jackson, TN 38305-2040 - Phone
- (731) 661-9825
- NPI assigned
- Jul 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 23847 | MS | |
| Interventional Pain Medicine Physician | 208VP0014X | 54063 | TN | Primary |
Addresses
Primary practice location
219 Stonebridge Blvd
Jackson, TN 38305-2040
Mailing address
24 Physicians Dr
Jackson, TN 38305-2085
Phone (731) 661-9825
Other practice location 1
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-1196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09956264 | 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
- Interventional Pain Management
- Education
- University of Mississippi School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 S Gloster St
Suite a
Tupelo, MS 38801-6548
Phone (662) 767-4200
Hospital & facility affiliations
- North Mississippi Medical Center
- Magnolia Regional Health Center
- North Mississippi Medical Center-Gilmore Amory
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| Specialty Orthopedic Group of Mississippi PLLC | Current | Accepting new patients | |
| Medical Center Anesthesia Inc. | Anesthesiology | Current | Accepting new patients |
| Specialty Orthopedic Group of Mississippi PLLC | Current | Accepting new patients | |
| Specialty Orthopedic Group of Ms, PLLC | Current | Accepting new patients | |
| Jackson Anesthesiology Group, PLLC | Anesthesiology | Past | Accepting new patients |
Locations
100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057
1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
Interoperability endpoints
- williamseely@nmhs.medalliesdirect.net
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1639553506
-
- Anesthesiology Physician
- Jackson, TN
- NPI 1447591730
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Orthopaedic Surgery Physician
- Senatobia, MS
- NPI 1801491352
-
- Orthopaedic Surgery Physician
- Starkville, MS
- NPI 1518573575
-
- Anesthesiology Physician
- Jackson, TN
- NPI 1770187734
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
- General Acute Care Hospital
- Amory, MS
- NPI 1164993457
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1609163880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 PHYSICIANS DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052085",
"telephone_number": "731-661-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 STONEBRIDGE BLVD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052040",
"telephone_number": "731-661-9825"
}
],
"practiceLocations": [
{
"address_1": "2500 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-815-1196",
"fax_number": "601-984-5939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEELY",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "23847",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TN",
"license": "54063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09956264",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.