Individual provider Active NPI

William Jeffrey Callard, MD

  • Emergency Medicine Physician
  • Surf City, NC
National Provider Identifier
1053505545
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2022-03299 Issued in NC
Practice address
121 Atkinson Rd
Surf City, NC 28445-6791
Phone
(310) 279-3512
NPI assigned
Aug 28, 2007
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2022-03299 NC Primary

Addresses

Primary practice location

121 Atkinson Rd
Surf City, NC 28445-6791

Mailing address

121 Atkinson Rd
Surf City, NC 28445-6791
Phone (310) 279-3512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120001643 NC Practitioner - Emergency Medicine 5395872451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians
Medac Health Services PAGroup PAC ID 1254220809, 24 clinicians

Practice addresses (Care Compare)

2265 NC Hwy 24 27 E
Biscoe, NC 27209-9758
Phone (919) 828-1131

5245 S College Rd
Wilmington, NC 28412-2209
Phone (910) 392-7806

8115 Market St
Suite 100
Wilmington, NC 28411-8428
Phone (910) 686-1972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medac Health Services, PA Emergency Medicine CurrentSince Nov 28, 2022 Accepting new patients
Medac Health Services, PA Emergency Medicine CurrentSince Nov 28, 2022 Accepting new patients

Locations

1442 Military Cutoff Rd
Wilmington, NC 28403
Phone (910) 256-6088

2600 New Village Way
Wilmington, NC 28405
Phone (910) 251-5858

4402 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363

5245 College Rd S
Wilmington, NC 28412
Phone (910) 347-1515

8115 Market St
Wilmington, NC 28411
Phone (910) 256-6088

8115 Market St
Ste 100
Wilmington, NC 28411
Phone (910) 256-6088

Interoperability endpoints

  • Direct secure messaging: william.callard.1@33097.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1053505545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ATKINSON RD",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456791",
            "telephone_number": "310-279-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ATKINSON RD",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456791",
            "telephone_number": "310-279-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLARD",
        "first_name": "WILLIAM",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2022-03299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surf City, NC

Sources for this page

Verify at the official NPI Registry.