Active NPI
Thompson Worth Liddell, M.D.
- Infectious Disease Physician
- Hattiesburg, MS
National Provider Identifier
1851703201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 24852
- Practice address
- 4 Medical Blvd
Hattiesburg, MS 39401-7230 - Phone
- (601) 579-5444
- Fax
- (601) 579-3083
- NPI assigned
- May 20, 2014
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 24852 | MS | Primary |
Addresses
Primary practice location
4 Medical Blvd
Hattiesburg, MS 39401-7230
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 579-5444
Other practice location 1
421 S 28th Ave Ste 110
Hattiesburg, MS 39401-7208
Phone (601) 579-5444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01657556 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tliddell88975@directpatientrecord.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190619002545 | MS | Practitioner - Infectious Disease | 1456685833 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
66 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-7500
Hospital & facility affiliations
- Forrest General Home Care
- Forrest General Hospital
- Walthall County General Hospital Cah
- Pearl River County Hospital
- Jefferson Davis Community Hospital Cah
- Perry County General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24852 | MS | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Community Dental Center | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Sumrall Family Health Center | Current | Accepting new patients | |
| Southeast Mississippi Rural Health Initiative, Inc. | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| Southeast Mississippi Rural Health Initiative, Inc. | Past | Accepting new patients | |
| Hattiesburg High School and Community Clinic | Past | Accepting new patients |
Locations
44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188
66 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-7500
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
4 Medical Blvd
Hattiesburg, MS 39401
Phone (601) 579-5444
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1366468266
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1043492770
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1760451777
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1538136940
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1336256700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1851703201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-579-5444",
"fax_number": "601-579-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MEDICAL BLVD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017230",
"telephone_number": "601-579-5444",
"fax_number": "601-579-3083"
}
],
"practiceLocations": [
{
"address_1": "421 S 28th Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394017208",
"country_code": "US",
"telephone_number": "601-579-5444",
"fax_number": "601-579-3083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIDDELL",
"first_name": "THOMPSON",
"middle_name": "WORTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MS",
"license": "24852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01657556",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tliddell88975@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4 Medical Blvd",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394017230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.