Individual provider Active NPI

Wesley F Prater, M.D.

  • Obstetrics & Gynecology Physician
  • Canton, MS
National Provider Identifier
1972564656
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
08247 Issued in MS
Practice address
1668 W Peace St
Canton, MS 39046-5332
Phone
(601) 859-5213
Fax
(601) 859-8771
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 08247 MS
Obstetrics & Gynecology Physician 207V00000X 08247 MS Primary

Addresses

Primary practice location

1668 W Peace St
Canton, MS 39046-5332

Mailing address

PO Box 588
Canton, MS 39046-0588
Phone (601) 859-5213

Other identifiers 2

IdentifierTypeStateIssuer
00016899MedicaidMS
C48145OtherMSUPIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000589 MS Practitioner - Obstetrics/Gynecology 6002888740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G a Carmichael Family Health Center, Inc.Group PAC ID 2567371032, 23 clinicians

Practice addresses (Care Compare)

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

326 Van Buren St
Canton, MS 39046-4737
Phone (601) 859-5213

364 Martin Luther King Dr
Canton, MS 39046-3654
Phone (601) 859-5213

529 Mace St
Canton, MS 39046-3319
Phone (601) 859-5213

P O Box
Suite 588
Canton, MS 39046-0588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
08247MSMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi State Department of Health Current Accepting new patients
G a Carmichael Family Health Center Inc CurrentSince Oct 31, 2015 Accepting new patients
G a Carmichael Family Health Center Inc Current Accepting new patients
G a Carmichael Family Health Center, Inc CurrentSince Oct 31, 2015 Accepting new patients
G a Carmichael Family Health Center Inc Past Accepting new patients
G a Carmichael Family Health Center. Inc. Past Accepting new patients

Locations

1301 E First St
Belzoni, MS 39038
Phone (662) 247-3121

10340 Highway 433 W
Bentonia, MS 39040
Phone (662) 755-2518

364 Martin Luther King Dr
Canton, MS 39046
Phone (601) 859-3578

1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050

529 Mace St
Canton, MS 39046
Phone (601) 859-1028

740 E Academy St
Canton, MS 39046
Phone (601) 859-9475

570 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 576-7345

1835 School Dr
Yazoo City, MS 39194
Phone (662) 716-0691

6789 Highway 49 Frontage Rd
Yazoo City, MS 39194
Phone (662) 746-6200

1547 Jerry Clower Blvd
Yazoo City, MS 39194
Phone (662) 746-6531

110 N Jerry Clower Blvd
Ste L
Yazoo City, MS 39194
Phone (662) 746-0907

1825 Martin Luther King Dr
Yazoo City, MS 39194
Phone (662) 746-1514

Interoperability endpoints

  • Direct secure messaging: wesley.prater.p1@direct.gacfhc.nextgenshare.com

Organizations & group practices 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1972564656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460588",
            "telephone_number": "601-859-5213",
            "fax_number": "601-859-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213",
            "fax_number": "601-859-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "WESLEY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MS",
            "license": "08247",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "08247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016899",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C48145",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

Verify at the official NPI Registry.