Active NPI
William L Marcy, M.D.
- Family Medicine Physician
- Corinth, MS
National Provider Identifier
1831141399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 08638
- Practice address
- 303 N Madison St
Corinth, MS 38834-5072 - Phone
- (662) 286-9883
- Fax
- (662) 284-9836
- NPI assigned
- May 16, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 08638 | MS | Primary |
Addresses
Primary practice location
303 N Madison St
Corinth, MS 38834-5072
Mailing address
2100 E Chambers Dr
Booneville, MS 38829-8938
Phone (662) 728-3174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00124936 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08638 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mantachie Rural Health Care, Inc | Family Medicine | Past | Accepting new patients |
| Region IV Mental Health Services | Past | Accepting new patients | |
| Region IV Mental Health Services | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIBHBA
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Mantachie, MS
- NPI 1033169545
Family Medicine
-
- Community/Behavioral Health Agency
- Corinth, MS
- NPI 1154601219
-
- Community/Behavioral Health Agency
- Corinth, MS
- NPI 1942579826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1831141399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 E CHAMBERS DR",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388298938",
"telephone_number": "662-728-3174",
"fax_number": "662-728-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N MADISON ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388345072",
"telephone_number": "662-286-9883",
"fax_number": "662-284-9836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCY",
"first_name": "WILLIAM",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "08638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124936",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.