Individual provider Active NPI

Billy Walton, DO

  • Family Medicine Physician
  • Tupelo, MS
National Provider Identifier
1710944699
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12216 Issued in MS
Practice address
903 Mississippi Dr
Tupelo, MS 38804-0928
Phone
(662) 377-4652
Fax
(662) 377-4656
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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 12216 MS Primary

Addresses

Primary practice location

903 Mississippi Dr
Tupelo, MS 38804-0928

Mailing address

450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685

Other identifiers 1

IdentifierTypeStateIssuer
00115083MedicaidMS

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
I20100601000232 MS Practitioner - Family Practice 9537298591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1040 A S Madison St
Tupelo, MS 38801-6300

Hospital & facility affiliations

  • North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • North Mississippi Medical Ctr Hospice, Tupelo, MS, CCN 251501
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12216MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Oct 1, 2001 Accepting new patients
North Mississippi Medical Clinics Inc Family Medicine CurrentSince Oct 1, 2001 Accepting new patients
North Mississippi Medical Clinics Inc Past Accepting new patients
Premier Medical Group of Mississippi LLC Past Accepting new patients
North Mississippi Medcial Center, Inc. Past Accepting new patients
North Mississippi Medical Clinics, Inc. Family Medicine Past Accepting new patients

Locations

208 Country Club Rd
Houston, MS 38851
Phone (662) 456-3437

119 Robertson St
Okolona, MS 38860
Phone (662) 447-3882

2161 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-1791

125 Turner Park Dr
Saltillo, MS 38866
Phone (662) 869-2122

1040A S Madison St
Tupelo, MS 38801
Phone (662) 842-2170

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

844 S Madison St
Ste B
Tupelo, MS 38801
Phone (662) 377-5300

903 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-4652

3411 W Main St
Tupelo, MS 38801
Phone (662) 844-9376

844 S Madison St
Tupelo, MS 38801
Phone (662) 377-5400

Interoperability endpoints

  • Direct secure messaging: billywalton@nmhs.medalliesdirect.net
  • FHIR API: https://eiclbext.nmhs.net/interconnect-generaloauth2services-prd/api/FHIR/R4/

Organizations & group practices 7

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 5

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1710944699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MISSISSIPPI DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040928",
            "telephone_number": "662-377-4652",
            "fax_number": "662-377-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "BILLY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115083",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.