Wilco Healthcare of North Mississippi, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILCO HEALTHCARE OF NORTH MISSISSIPPI, PLLC

Practice address

2273 S Eason Blvd
Tupelo, MS 38804-5900

Phone

(662) 842-2461

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Douglas Porter Anderson, PANPI 1235676792

Title

Owner/Medical Provider

Phone

(662) 255-2163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Troy Jun Ostrander, D.O.

  • Family Medicine Physician
  • Belden, MS
  • NPI 1437383718
  Medicare reassignment Care Compare group NPD
• Shontel K Pierce, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
  • NPI 1083441018
  Medicare reassignment Care Compare group NPD
• Douglas Porter Anderson, P.A.

  • Physician Assistant
  • Ripley, MS
  • NPI 1235676792
  Medicare reassignment Authorized official
• Samuel Joshua Creekmore III, M.D.

  • Family Medicine Physician
  • New Albany, MS
  • NPI 1578538591
  Medicare reassignment NPD
• Amy Richardson

  • Family Nurse Practitioner
  • Ripley, MS
  • NPI 1780469569
  Medicare reassignment NPD

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1821556838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 RANCHLAND RD",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388268857",
            "telephone_number": "662-255-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388045900",
            "telephone_number": "662-842-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCO HEALTHCARE OF NORTH MISSISSIPPI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "PORTER",
        "authorized_official_title_or_position": "OWNER/MEDICAL PROVIDER",
        "authorized_official_telephone_number": "662-255-2163",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Whittenberg, M.ED.
• Natalya Wigginton, PHARMD
• Charles W. Wikle, D.D.S.
• Jo Ann Wilbanks, LPC
• Frank W Wilburn, M.D.
• Martin Wildeman, LMFT
• Mark Wildmon, PH.D.
• Carla Jo Wilemon, LMSW
• Daniel Chase Wilkerson, ATC,LAT
• Sheri Wilkerson

• Family Medicine Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.