Active NPI
William Darden North, M.D.
- Plastic and Reconstructive Surgery Physician
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 24812
- Practice address
- 1055 River Oaks Dr
Flowood, MS 39232-9595 - Phone
- (601) 939-9778
- Fax
- (601) 939-9416
- NPI assigned
- May 16, 2011
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 24812 | MS | Primary |
Addresses
Primary practice location
1055 River Oaks Dr
Flowood, MS 39232-9595
Mailing address
1055 River Oaks Dr
Jackson, MS 39232-9595
Phone (601) 939-9778
Other practice location 1
800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-8082
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
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Kentucky College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 River Oaks Dr
Flowood, MS 39232-9595
Phone (601) 939-9778
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 41 |
| Melanoma (skin cancer) excision | 95 |
| Removal of tissue | 13 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24812 | MS | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RS Runnels Jr. M.D. PLLC | Current | Accepting new patients | |
| Runnels Plastic Surgery Center LLC | Past | Accepting new patients |
Locations
1055 River Oaks Dr
Jackson, MS 39232
Phone (601) 939-9778
1026 N Flowood Dr
Jackson, MS 39232
Phone (601) 932-1000
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.
-
dba The Runnels Clinic
- Plastic Surgery Physician
- Flowood, MS
- NPI 1346424298
-
- Ambulatory Surgical Clinic/Center
- Flowood, MS
- NPI 1275780660
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891087417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 RIVER OAKS DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392329595",
"telephone_number": "601-939-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329595",
"telephone_number": "601-939-9778",
"fax_number": "601-939-9416"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360001",
"country_code": "US",
"telephone_number": "859-323-8082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTH",
"first_name": "WILLIAM",
"middle_name": "DARDEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MS",
"license": "24812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.