Active NPI
William C Sams III, M.D.
- Ophthalmology Physician
- Gulfport, MS
National Provider Identifier
1811941529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 07263
- Practice address
- 1900 23Rd Ave
Gulfport, MS 39501-2965 - Phone
- (228) 864-2633
- Fax
- (228) 865-0339
- NPI assigned
- May 19, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 07263 | MS | Primary |
Addresses
Primary practice location
1900 23Rd Ave
Gulfport, MS 39501-2965
Mailing address
PO Box 148
Gulfport, MS 39502-0148
Phone (228) 864-2633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00014902 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Clinic PA | Ophthalmology | Current | Accepting new patients |
| Sunil Gupta MD LLC | Ophthalmology | Past | Accepting new patients |
Locations
1900 23rd Ave
Gulfport, MS 39501
Phone (228) 864-2633
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1811941529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395020148",
"telephone_number": "228-864-2633",
"fax_number": "228-865-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 23RD AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012965",
"telephone_number": "228-864-2633",
"fax_number": "228-865-0339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMS",
"first_name": "WILLIAM",
"middle_name": "C",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MS",
"license": "07263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014902",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.