Individual provider Active NPI

Brian K Williams, MD

  • Family Medicine Physician
  • Waynesboro, MS
National Provider Identifier
1669484655
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15468 Issued in MS
Practice address
950 Matthew Dr
Waynesboro, MS 39367-2567
Phone
(601) 735-5151
Fax
(601) 735-5205
NPI assigned
Aug 12, 2006
Last updated
Feb 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15468 MS Primary

Addresses

Primary practice location

950 Matthew Dr
Waynesboro, MS 39367-2567

Mailing address

PO Box 1249
Waynesboro, MS 39367-1249
Phone (601) 735-5151

Other identifiers 1

IdentifierTypeStateIssuer
0120926MedicaidMS

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
I20090501000090 MS Practitioner - Emergency MedicinePractitioner - Family Practice 5496803413 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tishomingo Health Services, Inc.Group PAC ID 2466354303, 25 clinicians
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

1777 Curtis Dr
Iuka Hospital
Iuka, MS 38852-7546
Phone (662) 423-6051

409 Tyler Holmes Dr
Winona, MS 38967-1521
Phone (662) 283-6121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15468MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Center - Yazoo, Inc CurrentSince May 4, 2013 Accepting new patients
South Sunflower County Hospital CurrentSince Oct 1, 2014 Accepting new patients
Correct Care, Inc. CurrentSince Sep 1, 2013 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
South Sunflower County Hospital Current Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Tishomingo Health Services, Inc. CurrentSince May 22, 2015 Accepting new patients
Copiah County Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince May 4, 2013 Accepting new patients
Tishomingo Health Services, Inc. CurrentSince May 22, 2015 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Dec 15, 2012 Accepting new patients
South Sunflower County Hospital CurrentSince Oct 1, 2014 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Dec 15, 2012 Accepting new patients
Copiah County Medical Center Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients
Baptist Medical Center-Leake, Inc Family Medicine Past Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
River Oaks Management Company LLC Family Medicine Past Accepting new patients
First Intermed Corporation Family Medicine Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

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

Interoperability endpoints

  • Direct secure messaging: brianwilliams@nmhs.medalliesdirect.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1669484655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1249",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393671249",
            "telephone_number": "601-735-5151",
            "fax_number": "601-735-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672567",
            "telephone_number": "601-735-5151",
            "fax_number": "601-735-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120926",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, MS

Sources for this page

Verify at the official NPI Registry.