Wadsworth Clinic, P. a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WADSWORTH CLINIC, P. A.

Practice address

2240 Highway 51 S
Hernando, MS 38632-1737

Phone

(662) 429-5231

Fax

(662) 429-4922

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William M. Wadsworth Sr., M.D.NPI 1194750653

Title

President

Phone

(662) 429-5231

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Manley Wadsworth, M.D.

  • Family Medicine Physician
  • Hernando, MS
  • NPI 1194750653
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1689861478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 HIGHWAY 51 S",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386321737",
            "telephone_number": "662-429-5231",
            "fax_number": "662-429-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 HIGHWAY 51 S",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386321737",
            "telephone_number": "662-429-5231",
            "fax_number": "662-429-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADSWORTH CLINIC, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "WADSWORTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-429-5231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "1194750653",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• V3 Healthcare Corporation (Louie's Family Pharmacy)
• Shanelle Marie Valentine, PA-C
• Jessica Vaughn, M.S.
• Shannon Vinson, NP
• VRF Eye Specialty Group, PLC
• Amy Robertson Wadsworth, D.D.S.
• William Manley Wadsworth, M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5419)
• Wal-Mart Stores East, LP (Vision Center 30-5419)
• Walgreen Co (Walgreens # 10706)

• Family Medicine Physician in Hernando, MS
• Providers in Hernando, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.