Active NPI
Turner L Willis, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- McComb, MS
National Provider Identifier
1861464760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 13923
- Practice address
- 305 Rawls Dr
McComb, MS 39648-2833 - Phone
- (601) 684-0465
- Fax
- (601) 684-3031
- NPI assigned
- Feb 3, 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 13923 | MS | Primary |
Addresses
Primary practice location
305 Rawls Dr
McComb, MS 39648-2833
Mailing address
PO Box 30309
Charleston, SC 29417-0309
Phone (843) 554-9300
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 |
|---|---|---|---|---|
| I20101110000515 | MS | Practitioner - Pathology | 3779516554 |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Mississippi School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
305 Rawls Dr
McComb, MS 39648-2859
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burrow Pathology Laboratories PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
305 Rawls Dr
McComb, MS 39648
Phone (601) 684-0465
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- McComb, MS
- NPI 1265744395
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1861464760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30309",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294170309",
"telephone_number": "843-554-9300",
"fax_number": "843-566-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 RAWLS DR",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482833",
"telephone_number": "601-684-0465",
"fax_number": "601-684-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "TURNER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MS",
"license": "13923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.