Individual provider Active NPI

Billy Ray Walton, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Whitfield, MS
National Provider Identifier
1871980995
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R861812 Issued in MS
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Service 10 clinicians
Urban Rehab, Inc 2 clinicians
Region VI Community Mental Health Commission 7 clinicians

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

LicenseStateTypeSpecialty
R861812MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Rehab, Inc CurrentSince Apr 15, 2024 Accepting new patients
Warren Yazoo Mental Health Service CurrentSince Sep 1, 2017 Accepting new patients
Mississippi State Hospital CurrentSince Apr 21, 2015 Accepting new patients
Region VI Community Mental Health Commission CurrentSince Sep 17, 2015 Accepting new patients
Mississippi State Hospital at Whitfield CurrentSince Apr 21, 2015 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.

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

Verify at the official NPI Registry.