Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. William Phillip Fortenberry Jr.

Individual provider Family Medicine Physician · NPI 1235521923

Mr. William Phillip Fortenberry Jr. is a Family Practice in Petal, Mississippi. Graduated from University of Mississippi School of Medicine in 2015, 11 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
11
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2015

Practice location Address checks out

50 Parkway Ln
Petal, MS 39465-3035
Phone: (601) 544-7404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 28846 (MS)

Record details

NPI number1235521923
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2015
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Petal