William Hughes Milam, MD
Individual provider Active NPI Urology Physician · Tupelo, MS
NPI 1992797161 · NPPES record last updated Jul 11, 2016
Key facts
- NPI
- 1992797161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 08022 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Owned or controlled facilities with NPI records 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| North Ms Medical Center |
Hospital | Corporate Director | Nov 1, 2011 |
| North Ms Med Psych Unit |
Hospital | Corporate Director | Nov 1, 2011 |
| North Ms Med Rehab Unit |
Hospital | Corporate Director | Nov 1, 2011 |
| North Ms Medical Center Home Health Agency |
Home health agency | Corporate Director | Jul 1, 1966 |
| Childrens Clinic - Tupelo |
Rural health clinic | Corporate Director | Oct 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020000744 | MS | Practitioner - Urology | 0749202984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21443 | AL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urologic Ambulatory Surgery Center, LLC | Urology | Current |
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
- william_hughes_milam_md_urology@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 08022 | MS | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00013284 | Medicaid | MS | |
| 340003556 | Other | R. R. MEDICARE |
Other providers in Tupelo, MS
- Mid-South Home Care Services, LLC
- Mid-South Rehabilitation & Restorative Medicine PLLC
- Midnight-Medical, Inc.
- Emma Mikels
- Catherine Storment Milam
- Johnny Miles
- Sonya Mitchell Miles
- Dilyana Nencheva Milev
- Tzonko V Milev
- Mary Millan
All providers in Tupelo, MS · Urology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.