Active NPI
William Truly, MD
- General Practice Physician
- Canton, MS
National Provider Identifier
1780893602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 066123
- Practice address
- East Peace St
Canton, MS 39046-1069 - Phone
- (601) 829-0018
- Fax
- (601) 829-0944
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 066123 | MS | Primary |
Addresses
Primary practice location
East Peace St
Canton, MS 39046-1069
Mailing address
PO Box 1069
Canton, MS 39046-1069
Phone (601) 829-0018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00019961 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050609000226 | MS | Practitioner - Emergency Medicine | 3072556133 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066123 | MS | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms LLC | Current | Accepting new patients | |
| Truly Healthcare Systems | Current | Accepting new patients | |
| Patients Choice Medical Center of Humphreys County, LLC | Past | Accepting new patients | |
| Jefferson County Nursing Home | Past | Accepting new patients |
Locations
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
259 W Peace St
Canton, MS 39046
Phone (601) 691-5175
870 Main St
Fayette, MS 39069
Phone (601) 786-3401
3613 Hospital St
Pascagoula, MS 39581
Phone (228) 471-5217
Interoperability endpoints
- https://api.platform.athenahealth.com/13136/brand/1/csg/1/fhir/r4
- william.truly.1@13136.direct.athenahealth.com
- william.truly.2@13136.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Port Gibson, MS
- NPI 1710238324
MS
-
- Community/Retail Pharmacy
- Aberdeen, MS
- NPI 1134858269
-
- Rural Acute Care Hospital
- Fayette, MS
- NPI 1043204555
-
- Multi-Specialty Clinic/Center
- Fayette, MS
- NPI 1841971348
-
- Family Medicine Physician
- Gautier, MS
- NPI 1932750916
-
- Skilled Nursing Facility
- Fayette, MS
- NPI 1184611741
-
- Critical Access Hospital
- Belzoni, MS
- NPI 1114951324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1780893602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1069",
"city": "CANTON",
"state": "MS",
"postal_code": "390461069",
"telephone_number": "601-829-0018",
"fax_number": "601-829-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EAST PEACE ST",
"city": "CANTON",
"state": "MS",
"postal_code": "390461069",
"telephone_number": "601-829-0018",
"fax_number": "601-829-0944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRULY",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "066123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00019961",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.