Individual provider Active NPI

William Harris IV, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lancaster, SC
National Provider Identifier
1013103100
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005998 Issued in PA
Practice address
1190 Highway 9 Byp W
Lancaster, SC 29720-1709
Phone
(803) 804-5964
Fax
(803) 283-9920
NPI assigned
Sep 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 554 NC
Foot & Ankle Surgery Podiatrist 213ES0103X SC005998 PA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 616 SC

Addresses

Primary practice location

1190 Highway 9 Byp W
Lancaster, SC 29720-1709

Mailing address

1190 Highway 9 Byp W
Lancaster, SC 29720-1709
Phone (803) 804-5964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110826000191 SC Practitioner - Podiatry 6608046842 Reassigns benefits to 1 organization
I20130219000191 NC Practitioner - Podiatry 6608046842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instride Foot and Ankle Specialists, PLLC 46 clinicians

Practice addresses (Care Compare)

1190 Hwy 9 Byp W
Lancaster, SC 29720-1709
Phone (803) 285-1411

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
  • Musc Health Lancaster Medical Center Hospital, Lancaster, SC, CCN 420036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of skin lesions26
Removal of nail tissue478
Removal or shaving of skin growth119
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
616SCMDClinical Social Worker
554NCMDAcupuncturist
SC005998PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Instride Foot and Ankle Specialists, PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2016 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2016 Accepting new patients

Locations

13521 Steelecroft Pkwy
Ste B
Charlotte, NC 28278
Phone (704) 315-5845

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

9789 Charlotte Hwy
Ste 200
Fort Mill, SC 29707
Phone (800) 336-1279

6237 Carolina Commons Dr
Ste 310
Indian Land, SC 29707
Phone (803) 285-1411

1190 Highway 9 Byp W
Lancaster, SC 29720
Phone (803) 283-9920

1538 Health Care Dr
Rock Hill, SC 29732
Phone (803) 327-1654

Interoperability endpoints

  • Direct secure messaging: william.harris@icpgi-nc.direct.office.nextgen.com

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1013103100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 HIGHWAY 9 BYP W",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201709",
            "telephone_number": "803-804-5964",
            "fax_number": "803-283-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 HIGHWAY 9 BYP W",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201709",
            "telephone_number": "803-804-5964",
            "fax_number": "803-283-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "554",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005998",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.