MR. TRACY LEE WILLIAMS (NPI# 1174787915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174787915 |
| Entity Type | Individual |
| Full Name | MR. TRACY LEE WILLIAMS |
| Credential | D.M.D. |
| Practice Address |
12 South 6th Street Bay Springs MS 39422 |
| Mailing Address |
Po Box 92 Bay Springs MS 39422-0092 |
| Practice Telephone | 6017644111 |
| Practice Fax Number | 6017643443 |
| Mailing Telephone | 6017644111 |
| Mailing Fax Number | 6017643443 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2011-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3469-08 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0125741 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639647894 | Tracy Evett Williams | Nurse Practitioner | 87 Viking Oak, San Antonio, TX 78247-3306 | 2018-11-06 |
| 1447726864 | Tracy Lynette Williams | Social Worker | 1200 S Acadian Thruway Ste 110d, Baton Rouge, LA 70806-6900 | 2018-10-23 |
| 1306346937 | Tracy Williams | Nurse's Aide | 818 Alhambra Rd, Cleveland, OH 44110-3108 | 2018-02-20 |
| 1699210211 | Tracy Lynn Williams | Lactation Consultant, Non-RN | 1122 Edgewood Dr, Festus, MO 63028-3400 | 2017-01-05 |
| 1821463928 | Tracy Williams | Counselor | 1305 S Holly St, Hammond, LA 70403 | 2015-12-01 |
| 1700158847 | Tracy Lashun Williams | Specialist | 18110 Palm Beach Drive, Tampa, FL 33647 | 2012-02-06 |
| 1447444195 | Tracy Jade Williams | Marriage & Family Therapist | 120 Cielo Ln, #204, Novato, CA 94949-3300 | 2007-09-05 |
| 1558477463 | Tracy Lane Williams | Counselor | 3747 Doctor's Drive, Port Arthur, TX 77642 | 2006-08-22 |
| 1649216813 | Tracy Renee Williams | Social Worker | 970 Raymond Ave Ste 105, Saint Paul, MN 55114-1701 | 2006-06-22 |
| 1851334296 | Tracy S Williams | Nurse Practitioner | Junction of Hwy 270 and 56, Wewoka, OK 74884 | 2006-06-14 |
| Street Address |
12 SOUTH 6TH STREET |
| City | BAY SPRINGS |
| State | MS |
| Zip Code | 39422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952873994 | Family Health Care Clinic, Inc | Clinic/Center | 298 Hwy 18 West, Bay Springs, MS 39422 | 2018-12-31 |
| 1578019808 | Rebecca Little | Nurse Practitioner | 27 S. 6th Street, Bay Springs, MS 39422 | 2016-08-28 |
| 1689930372 | Region Ten Commission On Mental Health | Clinic/Center | 9 North Second Street, Bay Springs, MS 39422 | 2012-04-06 |
| 1760790778 | Bay Springs Eye Care LLC | Optometrist | 16 South 6th Street, Bay Springs, MS 39422 | 2010-09-24 |
| 1316137052 | Bethany Ann South | Optometrist | 16 South 16th St, Bay Springs, MS 39422 | 2007-07-30 |
| 1972717858 | Dr. Benjamin J. Hodges and Associates, P.a. | Dentist | 2683 Hwy. 15, 2683 Hwy. 15, Bay Springs, MS 39422 | 2007-05-09 |
| 1003983420 | Paul Alan Little | Chiropractor | 13 East 8th Avenue, Bay Springs, MS 39422 | 2006-11-29 |
| 1194825513 | Mary E Clawson | Internal Medicine | Family Medical Clinic, 20 South 6th Street, Bay Springs, MS 39422 | 2006-09-25 |
| 1023118817 | Jasper General Hospital | Durable Medical Equipment & Medical Supplies | 15 A South 6th Street, Bay Springs, MS 39422 | 2006-09-22 |
| 1992804512 | Jasper County Nursing Home | Nursing Facility/Intermediate Care Facility | 15a South 6th Street, Bay Springs, MS 39422 | 2006-09-21 |
| Find all providers in zip 39422 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918278 | Lincoln Dental Arts, Pllc | Dentist | 4301 Lincoln Rd # 20, Hattiesburg, MS 39402-3036 | 2020-09-30 |
| 1528671971 | Arthur Cooper | Dentist | 3999 N Gloster St Ste D, Tupelo, MS 38804-0950 | 2020-08-26 |
| 1124630462 | Elite Practice Management | Dentist | 7185 Crape Myrtle Dr, Olive Branch, MS 38654-1971 | 2020-08-18 |
| 1568071975 | Patrick Burns | Dentist | Tallahatchie County Correctional, 415 Us 49, Tutwiler, MS 38963 | 2020-07-31 |
| 1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
| 1841815362 | Payalben Baldev Patel | Dentist | 117 Fontanelle Blvd, Madison, MS 39110-6846 | 2020-06-10 |
| 1760003644 | Phillip John Sheridan | Dentist | Keesler Air Force Base, 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-01 |
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1972146728 | David M. Perez, Dmd, P.C. | Dentist | 4600 Hardy St Ste 31a, Hattiesburg, MS 39402-1349 | 2019-10-24 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
| City | BAY SPRINGS |
| Zip Code | 39422 |
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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.