Active NPI
Billy Ray Walton, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Whitfield, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R861812
- Practice address
- 3550 Highway 468 W
Whitfield, MS 39193-5529 - Phone
- (601) 351-8000
- Fax
- (601) 351-8586
- NPI assigned
- Apr 16, 2015
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R861812 | MS | Primary |
Addresses
Primary practice location
3550 Highway 468 W
Whitfield, MS 39193-5529
Mailing address
3550 Highway 468 W
P.O. Box 157-a Fiscal Services
Whitfield, MS 39193-5529
Phone (601) 351-8000
Other practice location 1
635 W Willie Morris Pkwy
Yazoo City, MS 39194-7702
Phone (662) 746-5712
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150709002251 | MS | Practitioner - Nurse Practitioner | 1759693377 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Warren Yazoo Mental Health ServiceUrban Rehab, IncRegion VI Community Mental Health Commission
Practice addresses (Care Compare)
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
5345 Hwy 18 W
Jackson, MS 39209-9421
Phone 6019270188101
PO Box
Greenwood, MS 38935-1505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R861812 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Rehab, Inc | Current | Accepting new patients | |
| Warren Yazoo Mental Health Service | Current | Accepting new patients | |
| Mississippi State Hospital | Current | Accepting new patients | |
| Region VI Community Mental Health Commission | Current | Accepting new patients | |
| Mississippi State Hospital at Whitfield | Current | Accepting new patients | |
| Mississippi State Hospital at Whitfield | Current | Accepting new patients | |
| Urban Rehab, Inc | Past | Accepting new patients | |
| Garden Park | Past | Accepting new patients |
Locations
5345 Highway 18 W
Jackson, MS 39209
Phone (601) 927-0188
3444 Wisconsin Ave
Vicksburg, MS 39180
Phone (601) 638-0031
3550 Highway 468 W
#B60
Whitfield, MS 39193
3550 Highway 468 W
Whitfield, MS 39193
635 W Willie Morris Pkwy
Yazoo City, MS 39194
Phone (662) 746-5712
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1154433233
MS
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vicksburg, MS
- NPI 1023002920
MS
-
- Mental Illness Community Based Residential Treatment Facility
- Jackson, MS
- NPI 1336224179
MS
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton, MS
- NPI 1003469743
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MS
- NPI 1134366867
-
- General Practice Physician
- Whitfield, MS
- NPI 1982620712
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1932437209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871980995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 HIGHWAY 468 W",
"address_2": "P.O. BOX 157-A FISCAL SERVICES",
"city": "WHITFIELD",
"state": "MS",
"postal_code": "391935529",
"telephone_number": "601-351-8000",
"fax_number": "601-351-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 HIGHWAY 468 W",
"city": "WHITFIELD",
"state": "MS",
"postal_code": "391935529",
"telephone_number": "601-351-8000",
"fax_number": "601-351-8586"
}
],
"practiceLocations": [
{
"address_1": "635 W Willie Morris Pkwy",
"address_purpose": "LOCATION",
"city": "Yazoo City",
"state": "MS",
"postal_code": "391947702",
"country_code": "US",
"telephone_number": "662-746-5712",
"fax_number": "662-746-5723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTON",
"first_name": "BILLY",
"middle_name": "RAY",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "R861812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitfield, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.