NPIMap

Individual provider Active NPI

William Hughes Milam, MD

  • Urology Physician
  • Tupelo, MS
National Provider Identifier
1992797161
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
08022 Issued in MS
Practice address
499 Gloster Creek VLG
Suite A1
Tupelo, MS 38801-4600
Phone
(662) 377-7100
Fax
(662) 377-7115
NPI assigned
Aug 16, 2005
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 08022 MS Primary
Urology Physician 208800000X 21443 AL

Addresses

Primary practice location

499 Gloster Creek VLG
Suite A1
Tupelo, MS 38801-4600

Mailing address

PO Box 829
Tupelo, MS 38802-0829
Phone (662) 377-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000744 MS Practitioner - Urology 0749202984 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21443ALMDUrology Physician
08022MSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Ambulatory Surgery Center, LLC Urology CurrentSince Sep 21, 2017 Accepting new patients
Urologic Reference Lab LLC Urology Current Accepting new patients
The Continence Urology Past Accepting new patients

Locations

2089 Southridge Dr
Tupelo, MS 38801
Phone (662) 407-0801

499 Gloster Creek Vlg
Ste A1
Tupelo, MS 38801
Phone (662) 377-7100

Interoperability endpoints

  • Direct secure messaging: william_hughes_milam_md_urology@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Ms Medical CenterTupelo, MS, CCN 250004 Hospital Corporate Director Nov 1, 2011
North Ms Med Psych UnitTupelo, MS, CCN 25S004 Hospital Corporate Director Nov 1, 2011
North Ms Med Rehab UnitTupelo, MS, CCN 25T004 Hospital Corporate Director Nov 1, 2011
North Ms Medical Center Home Health AgencyTupelo, MS, CCN 257002 Home health agency Corporate Director Jul 1, 1966
Childrens Clinic - TupeloTupelo, MS, CCN 258551 Rural health clinic Corporate Director Oct 1, 2017

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1992797161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020829",
            "telephone_number": "662-377-7100",
            "fax_number": "662-377-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG",
            "address_2": "SUITE A1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-377-7100",
            "fax_number": "662-377-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "WILLIAM",
        "middle_name": "HUGHES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "08022",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "21443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.