WILLIAM CAREY UNIVERSITY (NPI# 1235601907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235601907 |
| Entity Type | Organization |
| Organization Name | WILLIAM CAREY UNIVERSITY |
| Practice Address |
710 William Carey Pkwy Hattiesburg MS 39401-7842 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR/AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WCU Sports Medicine | Doing Business As Name - Organization |
| Street Address |
710 WILLIAM CAREY PKWY |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-7842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962796789 | Ochsner Clinic LLC | General Practice | #4 Willow Pointe, Suite 1, Hattiesburg, MS 39402 | 2011-06-09 |
| 1285653386 | Pacific Physician Services, LLC | General Practice | 101 Asbury Cirlce, Hattiesburg, MS 39402 | 2006-07-19 |
| 1326003856 | Pacific Physician Services, LLC | General Practice | 14 Orleans Dr, Hattiesburg, MS 39402-8674 | 2006-04-18 |
| 1144724105 | Jacob Mcclendon | General Practice | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2018-03-22 |
| 1326565763 | Crystal Parker Mcnabb | General Practice | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2017-08-25 |
| 1336384742 | Pioneer Health Care, LLC | General Practice | 9 Willow Bend Dr, Hattiesburg, MS 39402-8552 | 2008-12-14 |
| 1134379175 | Robert E Bailey | General Practice | 222 S 27th Ave, Minor Care Clinic, Hattiesburg, MS 39401-7165 | 2008-09-26 |
| 1982740718 | Bennett E Smith Jr. | General Practice | 118 College Dr, 5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1790706463 | Pacific Physician Services, LLC | General Practice | 39 Franklin Rd, Suite 220, Hattiesburg, MS 39402-1588 | 2006-07-21 |
| 1316968084 | Pacific Physician Services, LLC | General Practice | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2006-07-21 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on WILLIAM CAREY UNIVERSITY.
| 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.