Active NPI
William Keith Harris, MD
- Family Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14932
- Practice address
- 7275 S Siwell Rd
Jackson, MS 39272-9776 - Phone
- (601) 373-7722
- Fax
- (601) 373-7378
- NPI assigned
- Mar 9, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14932 | MS | Primary |
Addresses
Primary practice location
7275 S Siwell Rd
Jackson, MS 39272-9776
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Phone (901) 227-3255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5706626 | Other | MS | AETNA |
| 00119606 | Medicaid | MS |
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 |
|---|---|---|---|---|
| I20051025000787 | MS | Practitioner - Family Practice | 9234156639 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Foundation of Central Mississippi Inc
Practice addresses (Care Compare)
110 S Pearson Rd
Pearl, MS 39208-5635
Phone (601) 968-1237
1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261
401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504
7273 S Siwell Rd
Jackson, MS 39272-9767
Phone (601) 372-8223
7275 S Siwell Rd
Jackson, MS 39272-9767
Phone (601) 373-7722
Hospital & facility affiliations
- Mississippi Homecare of Jackson
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Centerwell Home Health
- Adoration Home Health
- Mississippi Baptist Medical Center
- Mississippi Methodist Rehab Ctr
- Merit Health Central
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 54.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.72
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation of Central Ms | Family Medicine | Current | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc. | Family Medicine | Current | Accepting new patients |
| Baptist Jackson Heart Cardiology Clinic-Kosciusko | Current | Accepting new patients | |
| BMC - Attala, LLC | Family Medicine | Past | Accepting new patients |
Locations
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722
1200 N State St
Ste 270
Jackson, MS 39202
Phone (601) 714-6470
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Interoperability endpoints
- wharris148991@direct.bmhcc.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Family Medicine, MS
-
- Cardiovascular Disease Physician
- Jackson, MS
- NPI 1013280494
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
Family Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vicksburg, MS
- NPI 1245288943
-
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
Hospital
-
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
- Durable Medical Equipment & Medical Supplies
- Tupelo, MS
- NPI 1205604071
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1841349792
Hospital
-
- Home Health Agency
- Clinton, MS
- NPI 1356482749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1902874571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446",
"telephone_number": "901-227-3255",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7275 S SIWELL RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392729776",
"telephone_number": "601-373-7722",
"fax_number": "601-373-7378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "WILLIAM",
"middle_name": "KEITH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "14932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5706626",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119606",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.