Walthall Rural Health Clinic
NPI 1407166762 · Family Medicine Physician · Tylertown, MS
Walthall Rural Health Clinic is a Family Medicine Physician organization in Tylertown, MS (NPI 1407166762).
Provider details
- NPI number
- 1407166762
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Evan Dillard, President/Ceo(601) 288-4490
- License
- 11133 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Tylertown Health Clinic
Registry dates
- Enumerated
- 2010-10-20
- Last updated
- 2013-04-11
Frequently asked questions
- What is Walthall Rural Health Clinic's NPI number?
- Walthall Rural Health Clinic's National Provider Identifier (NPI) is 1407166762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walthall Rural Health Clinic?
- Walthall Rural Health Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Walthall Rural Health Clinic located?
- Walthall Rural Health Clinic's practice location on file with NPPES is 200 Hospital Dr, Tylertown, MS 39667-2020.
- What is Walthall Rural Health Clinic's phone number?
- The practice phone number listed in the NPPES registry for Walthall Rural Health Clinic is (601) 876-5835.
- Who is the authorized official for Walthall Rural Health Clinic?
- The authorized official listed on Walthall Rural Health Clinic's NPPES record is Evan Dillard, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walthall Rural Health Clinic's NPI active?
- Yes — Walthall Rural Health Clinic's NPI (1407166762) is active in the NPPES registry as of the last update on 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.