Active NPI
Billy Walton, DO
- Family Medicine Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115083 | 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
- 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
- Centerwell Home Health
- North Mississippi Medical Ctr
- North Mississippi Medical Center
- North Mississippi Medical Center-Gilmore Amory
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12216 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Family Medicine | Current | 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
- billywalton@nmhs.medalliesdirect.net
- 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.
-
- Internal Medicine Physician
- Tupelo, MS
- NPI 1053469486
Family Medicine
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Obstetrics & Gynecology Physician
- West Point, MS
- NPI 1588769970
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- Pulmonary Disease Physician
- Tupelo, MS
- NPI 1104937143
-
- Family Medicine Physician
- Tupelo, MS
- NPI 1073879029
-
- Clinic/Center
- Jackson, MS
- NPI 1548219884
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tupelo, MS
- NPI 1972509099
-
- General Acute Care Hospital
- Amory, MS
- NPI 1164993457
-
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
-
- Community Based Hospice Care Agency
- Tupelo, MS
- NPI 1982669156
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.