Wound and Podiatry Center

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

80107 Issued in MS

Legal business name

WOUND AND PODIATRY CENTER

Practice address

1815 Hospital Dr
Suite 434
Jackson, MS 39204-3425

Phone

(601) 405-5583

Fax

(601) 502-0111

NPI assigned

Mar 23, 2012

Last updated

Mar 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Percy Anderson Jr., DPM, CWS, CMETNPI 1982792198

Title

Ceo/Owner

Phone

(601) 502-1100

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Percy L Anderson Jr., D.P.M., C.W.S., CMET

  • Podiatrist
  • Jackson, MS
  • NPI 1982792198
  NPD (past) Authorized official

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1790051738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HOSPITAL DR",
            "address_2": "SUITE 434",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043425",
            "telephone_number": "601-405-5583",
            "fax_number": "601-502-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HOSPITAL DR",
            "address_2": "SUITE 434",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043425",
            "telephone_number": "601-405-5583",
            "fax_number": "601-502-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND AND PODIATRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PERCY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "601-502-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM, CWS, CMET"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "MS",
            "license": "80107",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Wooley, MD
• Luke Wooten, MD
• World Health Group
• World Health Industries
• Mary Kathy Worthy, OTR/L
• Douglas Wray, RN
• Kathryn Wray, FNP-C
• Anita Denise Wren, CNNP
• Laila Wrenn
• Wright Counseling Services, LLC

• Foot Surgery Podiatrist in Jackson, MS
• Providers in Jackson, MS by specialty
• Foot Surgery Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.