Individual provider Active NPI

William Harris, CCC-SLP

  • Speech-Language Pathologist
  • Gulfport, MS
National Provider Identifier
1649163254
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S-5226 Issued in MS
Practice address
15073 Northrup Cuevas Rd
Gulfport, MS 39503-8213
Phone
(228) 697-6084
NPI assigned
Jun 2, 2025
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S-5226 MS Primary

Addresses

Primary practice location

15073 Northrup Cuevas Rd
Gulfport, MS 39503-8213

Mailing address

15073 Northrup Cuevas Rd
Gulfport, MS 39503-8213
Phone (228) 697-6084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618002085 MS Practitioner - Qualified Speech Language Pathologist 4385155092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Physical Therapy Clinic IncGroup PAC ID 6103167184, 13 clinicians

Practice addresses (Care Compare)

1620 Hwy 11 N
Suite C
Picayune, MS 39466-2070
Phone (769) 242-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lets Play Pediatric Therapy LLC Speech-Language Pathologist Current Accepting new patients
Southern Physical Therapy Clinic, Inc. Speech-Language Pathologist CurrentSince May 9, 2025 Accepting new patients

Locations

1620 Highway 11 N
Ste C
Picayune, MS 39466
Phone (769) 242-2626

1601 Central Ave W
Wiggins, MS 39577
Phone (601) 716-3196

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1649163254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15073 NORTHRUP CUEVAS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038213",
            "telephone_number": "228-697-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15073 NORTHRUP CUEVAS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038213",
            "telephone_number": "228-697-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WILLIAM",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-5226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.