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WILLIAM CAREY UNIVERSITY
NPI 1235601907
General Practice in Hattiesburg, MS

Active since December 19, 2018
710 WILLIAM CAREY PKWY, HATTIESBURG, MS 39401(972) 367-4845 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Carey University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM CAREY UNIVERSITY (NPI 1235601907), doing business as Wcu Sports Medicine, is a healthcare organization registered as a general practice in Hattiesburg, Mississippi and active in the NPI registry since December 2018. The organization lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1235601907
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWILLIAM CAREY UNIVERSITY
Location Address710 WILLIAM CAREY PKWYHattiesburg, MS 39401-7842
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator/agent · (972) 367-4845
Enumeration DateDecember 19, 2018
✔ NPI 1235601907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
710 WILLIAM CAREY PKWY, Hattiesburg, MS 39401
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Other Names 1

Doing Business AsWcu Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN DAMICO
Student in an Organized Health Care Education/Training Program
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6235
HATTIESBURG CLINIC, PA
Family Medicine
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6736
ANAJAH COLEMAN
Student in an Organized Health Care Education/Training Program
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6051
JENNIFER L. KENNEDY PT
Physical Therapist
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6335
KESHAVKIRAN JAYAGOPI
Student in an Organized Health Care Education/Training Program
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6235
EUN PARK
Student in an Organized Health Care Education/Training Program
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6235
GABRIELLA SOPHIE COOK
Student in an Organized Health Care Education/Training Program
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Carey University's NPI number?

The NPI number for William Carey University is 1235601907. It was assigned to this organization in the NPPES registry on December 19, 2018. The provider is doing business as WCU Sports Medicine.

Where is William Carey University located?

William Carey University is located at 710 William Carey Pkwy, Hattiesburg, MS 39401. The listed phone number is (972) 367-4845.

What is William Carey University's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for William Carey University was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.