Individual provider Active NPI

William Bryant Walker, MD

  • Plastic Surgery Physician
  • Ridgeland, MS
National Provider Identifier
1649576539
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
21164 Issued in MS
Practice address
1000 Highland Colony Pkwy
Suite 27202
Ridgeland, MS 39157-2073
Phone
(769) 300-2946
Fax
(769) 300-2953
NPI assigned
Feb 10, 2011
Last updated
Jul 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 21164 MS Primary

Addresses

Primary practice location

1000 Highland Colony Pkwy
Suite 27202
Ridgeland, MS 39157-2073

Mailing address

1000 Highland Colony Pkwy
Suite 27202
Ridgeland, MS 39157-2073
Phone (769) 300-2946

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
I20110523000706 MS Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 4587840707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
University of Mississippi School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yazoo Emergency Group, LLCGroup PAC ID 0749511574, 19 clinicians

Practice addresses (Care Compare)

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.53 of 100Reported as group
Quality
88.1
Improvement activities
40
Cost
85.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Medical Services of Ms, Inc CurrentSince Apr 13, 2011 Accepting new patients
Yazoo Emergency Group, LLC CurrentSince Jun 19, 2021 Accepting new patients
App of Mississippi Ed, LLC CurrentSince Jul 14, 2019 Accepting new patients
Baptist Medical Center - Yazoo, Inc Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1649576539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 27202",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572073",
            "telephone_number": "769-300-2946",
            "fax_number": "769-300-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 27202",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572073",
            "telephone_number": "769-300-2946",
            "fax_number": "769-300-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WILLIAM",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-10",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "21164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.