Michael David Williams, NP-C - Medicare Nurse Practitioner in Southaven, MS

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Michael David Williams, NP-C is a medicare enrolled "Nurse Practitioner" in Southaven, Mississippi. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Msk Group Pc, Msk Group Pc and his current practice location is 7900 Airways Blvd Bldg B102, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 349-9023.

Michael David Williams is licensed to practice in Tennessee (license number 28243) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174139182.

Contact Information

Michael David Williams, NP-C
7900 Airways Blvd Bldg B102,
Southaven, MS 38671-4118
(662) 349-9023
(662) 349-9023

Map and Direction




Provider's Profile

Full NameMichael David Williams
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location7900 Airways Blvd Bldg B102, Southaven, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael David Williams graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1174139182
  • Provider Enumeration Date: 09/16/2020
  • Last Update Date: 06/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971914102
  • Enrollment ID: I20201119001942

Medical Identifiers

Medical identifiers for Michael David Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174139182NPI-NPPES
28243OtherTNSTATE LICENSE
904159OtherMSSTATE LICENSE
800828771OtherMSDRIVER'S LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 28243 (Tennessee)Primary
363LF0000XNurse Practitioner - Family WILL-45YJ7O (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 211443 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial Hospital DesotoSouthaven, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Msk Group Pc4688574262130
Msk Group Pc4688574262130

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael David Williams allows following entities to bill medicare on his behalf.
Entity NameProactive Heart & Vascular Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700973625
PECOS PAC ID: 6406753748
Enrollment ID: O20031216000169
Entity NameMsk Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376541409
PECOS PAC ID: 4688574262
Enrollment ID: O20040110000141

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael David Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael David Williams, NP-C
6077 Primacy Pkwy Ste 140,
Memphis, TN 38119-5754

Ph: (901) 259-1673		Michael David Williams, NP-C
7900 Airways Blvd Bldg B102,
Southaven, MS 38671-4118

Ph: (662) 349-9023

Reviews and Comments


Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671
Phone: 662-470-7549    Fax: 269-906-2006
Ms. Sherlean D Shugars, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2149 Stateline Rd W, Southaven, MS 38671
Phone: 662-342-1112    
Penny Marie Holley, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672
Phone: 662-655-0456    Fax: 662-655-0457
Christopher Gully, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671
Phone: 901-226-0456    Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 122 Airways Pl, Southaven, MS 38671
Phone: 662-349-9990    Fax: 662-349-2620
Misty Burton, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 391 Southcrest Cir, Southaven, MS 38671
Phone: 662-349-2659    
Rebecca Holly T Robertson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 122 Airways Pl, Southaven, MS 38671
Phone: 662-349-9990    Fax: 662-349-2620

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.