Individual provider Active NPI

Wesley S Bennett, M.D

  • Interventional Cardiology Physician
  • Meridian, MS
National Provider Identifier
1730166307
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
10758 Issued in MS
Practice address
1102 Constitution Ave
Meridian, MS 39301-4001
Phone
(601) 483-5322
Fax
(601) 693-8081
NPI assigned
Dec 27, 2005
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 10758 MS Primary

Addresses

Primary practice location

1102 Constitution Ave
Meridian, MS 39301-4001

Mailing address

2730 Ambassador Caffery Pkwy
Lafayette, LA 70506-5939
Phone (337) 369-9213

Other practice location 1

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other identifiers 1

IdentifierTypeStateIssuer
00121404MedicaidMS

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
I20080603000465 MS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779653787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Mississippi School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Regional Medical CenterGroup PAC ID 4284548025, 18 clinicians
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 483-8811

4909 Great River Dr
Meridian, MS 39305-2664
Phone (601) 282-8980

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair21
Varicose vein removal18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Regional Medical Center Current Accepting new patients
Anderson Regional Medical Center CurrentSince Jan 31, 2018 Accepting new patients
Joel T Callahan Thomas H Greer Jr & a Gary Boone PTR Current Accepting new patients
Anderson Regional Medical Center Current Accepting new patients
Meridian Hma LLC Past Accepting new patients
Meridian Hma LLC Past Accepting new patients
Anderson Hospital Providers Inc Past Accepting new patients

Locations

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

1102 Constitution Ave
#F
Meridian, MS 39301
Phone (601) 693-2511

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2113 11th St
Fl 2
Meridian, MS 39301
Phone (601) 483-5322

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1730166307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065939",
            "telephone_number": "337-369-9213",
            "fax_number": "337-367-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CONSTITUTION AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014001",
            "telephone_number": "601-483-5322",
            "fax_number": "601-693-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "WESLEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "10758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121404",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.