OrganizationActive
Walthal Rural Health Clinic
NPI 1144530403 · Internal Medicine Physician · Tylertown, MS
Provider details
- NPI number
- 1144530403
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Evan Dillard, President/Ceo(601) 288-4490
- License
- 10220 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Hospital Dr
Tylertown, MS 39667-2020
Phone: (601) 876-5303
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 677
Tylertown, MS 39667-0677
Other names (DBA / former)
- Doing business as
- Tylertown Internal Medicine Clinic
Registry dates
- Enumerated
- 2010-10-20
- Last updated
- 2013-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.