Active NPI
William M Myers Jr., COTA/L
- Contractor
- Benton, MS
National Provider Identifier
1952608911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- TA2243
- Practice address
- 1449 Sunny Lane Rd
Benton, MS 39039-9400 - Phone
- (662) 571-2464
- NPI assigned
- Feb 26, 2011
- Last updated
- Feb 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | TA2243 | MS | Primary |
Addresses
Primary practice location
1449 Sunny Lane Rd
Benton, MS 39039-9400
Mailing address
1449 Sunny Lane Rd
Benton, MS 39039-9400
Phone (662) 571-2464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TA2243 | Other | MS | COTA/L |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2243 | MS | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298678400000",
"number": "1952608911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 SUNNY LANE RD",
"city": "BENTON",
"state": "MS",
"postal_code": "390399400",
"telephone_number": "662-571-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 SUNNY LANE RD",
"city": "BENTON",
"state": "MS",
"postal_code": "390399400",
"telephone_number": "662-571-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "WILLIAM",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-26",
"last_updated": "2011-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MS",
"license": "TA2243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA/L",
"identifier": "TA2243",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.