Individual provider Active NPI

William Fowler Quinn, NP

  • Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1861277964
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
909811 Issued in MS
Practice address
820 Highway 2
Corinth, MS 38834-7954
Phone
(662) 286-0909
Fax
(662) 286-0110
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 909811 MS Primary

Addresses

Primary practice location

820 Highway 2
Corinth, MS 38834-7954

Mailing address

820 Highway 2
Corinth, MS 38834-7954
Phone (662) 286-0909

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102003928 MS Practitioner - Nurse Practitioner 3971950577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Family Clinic of Kossuth, LLCGroup PAC ID 7113161530, 2 clinicians

Practice addresses (Care Compare)

820 Hwy 2
Corinth, MS 38834-7954
Phone (662) 286-0909

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
909811MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Family Clinic of Kossuth, LLC CurrentSince Sep 18, 2023 Accepting new patients
Kossuth Family Health Clinic PastSince Sep 5, 2023 Accepting new patients

Locations

820 Highway 2
Corinth, MS 38834
Phone (662) 286-0909

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCCCBD

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.

Hospital & facility affiliations 3

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1861277964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 HIGHWAY 2",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347954",
            "telephone_number": "662-286-0909",
            "fax_number": "662-286-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 HIGHWAY 2",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347954",
            "telephone_number": "662-286-0909",
            "fax_number": "662-286-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "WILLIAM",
        "middle_name": "FOWLER",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "909811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.