Individual provider Active NPI

William B Hillegass Jr., MD

  • Cardiovascular Disease Physician
  • Jackson, MS
National Provider Identifier
1619906112
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
32921 Issued in MS
Practice address
Select Specialty - Cardiology
5903 Ridgewood Road
Jackson, MS 39211-1900
Phone
(601) 984-5678
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 32921 MS Primary

Addresses

Primary practice location

Select Specialty - Cardiology
5903 Ridgewood Road
Jackson, MS 39211-1900

Mailing address

PO Box 11407, Dept 2130
Birmingham, AL 35246-2301
Phone (601) 984-5678

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
I20250905004304 MS Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8325224173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5903 Ridgewood Rd
Jackson, MS 39211-3700
Phone (601) 815-2005

Hospital & facility affiliations

  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32921MSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 23, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 23, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
University Physicians, PLLC Past Accepting new patients

Locations

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

1010 Lakeland Pl
Flowood, MS 39232
Phone (601) 815-0600

5903 Ridgewood Rd
Jackson, MS 39211
Phone (601) 376-2022

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Interoperability endpoints

  • Direct secure messaging: whillegass202680@ummc.direct-ci.com

Organizations & group practices 4

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.

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1619906112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407, DEPT 2130",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462301",
            "telephone_number": "601-984-5678",
            "fax_number": "601-984-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SELECT SPECIALTY - CARDIOLOGY",
            "address_2": "5903 RIDGEWOOD ROAD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392111900",
            "telephone_number": "601-984-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEGASS",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "32921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.