Active NPI
William Larkin Carter, M.D.
- Diagnostic Radiology Physician
- Ridgeland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 12489
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0115576 | Medicaid | MS |
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
Enrollment records 1
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
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
- St Dominic-Jackson Memorial Hospital
- Baptist Medical Center Attala
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.5 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12489 | MS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Hma Hospitalists, LLC | Current | Accepting new patients | |
| Radiological Group, PA | Specialist | Current | Accepting new patients |
| Mississippi Hma Hospitalists, LLC | Diagnostic Radiology | Current | 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.
-
- Specialist
- Jackson, MS
- NPI 1346398625
-
- Hospitalist Physician
- Jackson, MS
- NPI 1154608883
Diagnostic Radiology
-
- Hospitalist Physician
- Flowood, MS
- NPI 1245578558
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1780737577
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kosciusko, MS
- NPI 1730566027
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.