WILLIAM DOUGLAS PERRY (NPI# 1033196977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033196977 |
| Entity Type | Individual |
| Full Name | WILLIAM DOUGLAS PERRY |
| Credential | MD |
| Practice Address |
110 Park St Walnut Grove MS 39189-6526 |
| Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
| Practice Telephone | 6012671406 |
| Practice Fax Number | 6012675422 |
| Mailing Telephone | 9012273255 |
| Mailing Fax Number | 9012278591 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2018-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12146 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00115309 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Park Street, Walnut Grove, MS 39189 | 6012530173 | 6012530176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942702626 | William Alexander Perry IIi | Pharmacist | 10 Manatee Ct, Asheville, NC 28803-0118 | 2018-03-08 |
| 1689115305 | William Perry Sr. | Home Health Aide | 2111 18th St Se Apt B1, Washington, DC 20020-4219 | 2017-03-14 |
| 1669867941 | William Christopher Perry | Podiatrist | 3860 Wedgefield Ct, Miamisburg, OH 45342-6725 | 2015-04-02 |
| 1033557418 | William Patton Perry | Radiology | Department of Radiology 2301 Erwin Road Room, Durham, NC 27710-0001 | 2013-06-07 |
| 1760704407 | William Litt Perry | Dentist | 100 Los Gatos Saratoga Rd, Suite C, Los Gatos, CA 95032-7397 | 2010-02-23 |
| 1073744629 | William Edward Perry | Chiropractor | 3225 S Oxbow Dr, Nampa, ID 83686-4905 | 2009-07-30 |
| 1730340209 | William Dodge Perry | Optometrist | 5653 Columbia Pike Ste 101, Baileys Crossroads, VA 22041-2874 | 2008-06-18 |
| 1598812851 | William L Perry | Physical Therapist | 8654 E Hannibal St, Mesa, AZ 85207-4103 | 2007-01-05 |
| 1518077486 | William E Perry | Family Medicine | 480 N Fitzmaurice Dr, Prescott, AZ 86303-6234 | 2006-08-30 |
| 1124132741 | William M Perry | Physician Assistant | Fm 2185 & Eisenhower Rd, Van Horn, TX 79855 | 2006-08-19 |
| Street Address |
110 PARK ST |
| City | WALNUT GROVE |
| State | MS |
| Zip Code | 39189-6526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295106326 | Constance Wilkerson | Nurse Practitioner | 110 Park St, Walnut Grove, MS 39189-6526 | 2015-10-15 |
| 1073925244 | Jonathan Malone Buchanan | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2014-05-22 |
| 1255650321 | Neshoba County General Hospital | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2010-05-27 |
| 1053576819 | Leake Memorial Medical Clinic Walnut Grove | General Acute Care Hospital | 110 Park St, Walnut Grove, MS 39189-6526 | 2008-07-22 |
| 1548310782 | Baptist Medical Center-leake, Inc | Clinic/Center | 110 Park St, Walnut Grove, MS 39189-6526 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376633818 | Rodney L Moore | Pharmacy | 103 Chadwick Ave, Walnut Grove, MS 39189 | 2006-10-13 |
| 1255387619 | East Central Mississippi Health Care, Inc | Clinic/Center | 199 Rimmer St, Walnut Grove, MS 39189 | 2006-05-26 |
| 1669450037 | Charlie M Hardin Jr. | Nurse Practitioner | 110 Park Street, Walnut Grove, MS 39189 | 2006-01-05 |
| 1518130582 | Central Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 109 Main St, Walnut Grove, MS 39189 | 2008-04-10 |
| 1063499002 | James W. Lock | Internal Medicine | 199 Rimmer Street, Walnut Grove, MS 39189-0370 | 2005-12-30 |
| 1467625830 | Vernetta P. Barton | Speech-Language Pathologist | 154 Truelight Rd, Walnut Grove, MS 39189-5028 | 2008-04-08 |
| 1376188086 | Marshall Devolopmental Therapy Services Inc | Behavioral Analyst | 308 Estes Mill Rd, Walnut Grove, MS 39189-5043 | 2019-11-18 |
| 1578009155 | First-line LLC | Ambulance | 2354 Union Rd, Walnut Grove, MS 39189-5189 | 2017-01-06 |
| 1326118522 | Homecare Hospice Inc | Registered Nurse | 16482 Highway 21, Walnut Grove, MS 39189-6180 | 2006-11-08 |
| 1144662230 | Lhcg Xlix, LLC | Hospice Care, Community Based | 16482 Highway 21, Walnut Grove, MS 39189-6180 | 2013-07-18 |
| Find all providers in zip 39189 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073925244 | Jonathan Malone Buchanan | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2014-05-22 |
| 1255650321 | Neshoba County General Hospital | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT GROVE |
| Zip Code | 39189 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.