NPIMap

Individual provider Active NPI

William D Whitton, MD

  • Family Medicine Physician
  • Madison, MS
National Provider Identifier
1790754307
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15902 Issued in MS
Practice address
1040 Gluckstadt Rd Ste B
Madison, MS 39110-7228
Phone
(601) 605-0452
Fax
(601) 605-0453
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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 15902 MS Primary

Addresses

Primary practice location

1040 Gluckstadt Rd Ste B
Madison, MS 39110-7228

Mailing address

140 Colony PL
Madison, MS 39110-6638
Phone (601) 918-2368

Other identifiers 8

IdentifierTypeStateIssuer
P00169813OtherMSRR MEDICARE
753068151OtherMSMS PHYSCIANS CARE NETWORK
753068151OtherMSFIRST CHOICE
00122387MedicaidMS
7610132OtherMSAETNA
168390707OtherMSUS DEPT OF LABOR
753068151001OtherMSTRICARE
753068151OtherMSMS HEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000268 MS Practitioner - Family Practice 8325027063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Oaks Management Company LLCGroup PAC ID 0345233110, 35 clinicians
Ridgeland Medical ClinicGroup PAC ID 9032524400, 5 clinicians

Practice addresses (Care Compare)

200 Key Dr
Madison, MS 39110-7361
Phone (601) 605-2085

587 Hwy 51
Suite T
Ridgeland, MS 39157-2567
Phone (601) 790-7711

Hospital & facility affiliations

  • Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Merit Health Women'S Hospital Hospital, Flowood, MS, CCN 250136
  • Merit Health Madison Hospital, Canton, MS, CCN 250038

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
R3 Wellness and Infusion, LLC CurrentSince Sep 3, 2025 Accepting new patients
River Oaks Management Company, LLC Family Medicine CurrentSince Mar 25, 2024 Accepting new patients
River Oaks Management Company LLC Family Medicine Current Accepting new patients
Ridgeland Medical Clinic Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Careplus Lakeview Family Medicine Family Medicine CurrentSince Mar 25, 2024 Accepting new patients
Reservoir Family Medical Clinic, PA Family Medicine Current Accepting new patients
First Intermed Corporation Family Medicine Past Accepting new patients
River Oaks Management Company, LLC Family Medicine Past Accepting new patients
Ridgeland Family Medical Ctr Family Medicine Past Accepting new patients
Trustcare Primary Care, LLC Family Medicine Past Accepting new patients

Locations

1220 N Shore Pkwy
#A
Brandon, MS 39047
Phone (601) 829-2939

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

7732 Old Canton Rd
Madison, MS 39110
Phone (601) 856-1262

587 Highway 51
Ste T
Ridgeland, MS 39157
Phone (601) 790-7711

Interoperability endpoints

  • Direct secure messaging: william.whitton.1@4695.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4695/brand/5/csg/1/fhir/r4
  • Direct secure messaging: william.whitton.2@4695.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1790754307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COLONY PL",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106638",
            "telephone_number": "601-918-2368",
            "fax_number": "601-605-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GLUCKSTADT RD STE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107228",
            "telephone_number": "601-605-0452",
            "fax_number": "601-605-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTON",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00169813",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS PHYSCIANS CARE NETWORK",
            "identifier": "753068151",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE",
            "identifier": "753068151",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122387",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7610132",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "168390707",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "753068151001",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS HEALTH PARTNERS",
            "identifier": "753068151",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.