Individual provider Active NPI

William Larkin Carter, M.D.

  • Diagnostic Radiology Physician
  • Ridgeland, MS
National Provider Identifier
1669585774
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12489 Issued in MS
Practice address
113 W Jackson St Ste B
Ridgeland, MS 39157-2402
Phone
(601) 354-4327
Fax
(601) 360-0822
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12489 MS Primary
Specialist 174400000X 12489 MS

Addresses

Primary practice location

113 W Jackson St Ste B
Ridgeland, MS 39157-2402

Mailing address

113 W Jackson St Ste B
Ridgeland, MS 39157-2402
Phone (601) 354-4327

Other identifiers 1

IdentifierTypeStateIssuer
0115576MedicaidMS

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
I20070716000422 MS Practitioner - Diagnostic Radiology 8022118470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiological Group, PAGroup PAC ID 7810969607, 12 clinicians

Practice addresses (Care Compare)

1225 N State St
Suite 2C Radiology Department
Jackson, MS 39202-2073
Phone (601) 968-1000

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Baptist Medical Center Attala Hospital, Kosciusko, MS, CCN 251336

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12489MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Hma Hospitalists, LLC CurrentSince Nov 1, 2024 Accepting new patients
Radiological Group, PA Specialist CurrentSince Sep 30, 1993 Accepting new patients
Mississippi Hma Hospitalists, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Jackson Anesthesia Associates PA Past Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

1225 N State St
Ste 2C
Jackson, MS 39202
Phone (601) 968-1000

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

113 W Jackson St
Ste B
Ridgeland, MS 39157

1107 Highland Colony Pkwy
Ste 209
Ridgeland, MS 39157
Phone (601) 360-0823

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

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 3

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1669585774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W JACKSON ST STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572402",
            "telephone_number": "601-354-4327",
            "fax_number": "601-360-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W JACKSON ST STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572402",
            "telephone_number": "601-354-4327",
            "fax_number": "601-360-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "WILLIAM",
        "middle_name": "LARKIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "12489",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "12489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115576",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.