AVERY VILLERET MD
NPI 1699478693
Pediatrics in Columbus, MS

Active since March 27, 2023PECOS Enrolled
200 PARK CREEK DR, COLUMBUS, MS 39705(662) 327-8410(662) 327-9749 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2024, Jul 4, 2023, Mar 27, 2023 (3 updates tracked since 2023).

About Avery Villeret Md NPPES

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

AVERY VILLERET MD (NPI 1699478693) is an individual pediatrics provider in Columbus, Mississippi, licensed in Mississippi (T-4951) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1699478693
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAVERY VILLERETCredential: MD
Location Address200 PARK CREEK DRColumbus, MS 39705-1309
Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401 · (877) 348-1281 · Fax (901) 227-3206
Fax(662) 327-9749
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateDecember 20, 20243 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1699478693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MS · T-4951
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

200 PARK CREEK DR, Columbus, MS 39705

Secondary Practice Location 1

Location 13748 Crane BlvdJackson, MS 39216-3605 · Phone (601) 622-7971 · Fax (601) 622-7971

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Avery Villeret Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
200 PARK CREEK DR
COLUMBUS, MS 39705
Nurse Practitioner (Family)
200 PARK CREEK DR
COLUMBUS, MS 39705
Nurse Practitioner (Primary Care)
200 PARK CREEK DR
COLUMBUS, MS 39705

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 Avery Villeret's NPI number?

The NPI number for Avery Villeret is 1699478693. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Avery Villeret located?

Avery Villeret practices at 200 Park Creek Dr, Columbus, MS 39705. The listed phone number is (662) 327-8410.

What is Avery Villeret's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Avery Villeret enrolled in Medicare?

Yes. Avery Villeret is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Avery Villeret was last updated on December 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.