Individual provider Active NPI

William R Locke, MD

  • Obstetrics & Gynecology Physician
  • Starkville, MS
National Provider Identifier
1992886725
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
08762 Issued in MS
Practice address
100 Medical Park Drive
Starkville, MS 39759
Phone
(662) 324-4201
Fax
(662) 765-0008
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 08762 MS Primary

Addresses

Primary practice location

100 Medical Park Drive
Starkville, MS 39759

Mailing address

100 Medical Park Drive
Starkville, MS 39759
Phone (662) 324-4201

Other identifiers 1

IdentifierTypeStateIssuer
00115190MedicaidMS

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
I20110103000098 MS Practitioner - Obstetrics/Gynecology 8123216421 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08762MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Clinic for Women, PA Obstetrics & Gynecology CurrentSince Feb 2, 2000 Accepting new patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Sep 10, 2019 Accepting new patients
Sanders Clinic for Women PA Obstetrics & Gynecology CurrentSince Jun 19, 2020 Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

100 Medical Park Dr
Starkville, MS 39759
Phone (662) 323-4427

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1041 S Madison St
Tupelo, MS 38801
Phone (601) 844-8754

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13706/brand/1/csg/1/fhir/r4
  • Direct secure messaging: will_locke_md@yourcarecommunity.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1992886725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PARK DRIVE",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-324-4201",
            "fax_number": "662-765-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PARK DRIVE",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-324-4201",
            "fax_number": "662-765-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "08762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115190",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.