Individual provider Active NPI

William M. Satterwhite III, JD, MD

  • Pediatrics Physician
  • Winston Salem, NC
National Provider Identifier
1063471654
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9801761 Issued in NC
Practice address
755 Highland Oaks Dr Ste 102
Winston Salem, NC 27103-7106
Phone
(336) 713-7197
NPI assigned
Mar 22, 2006
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9801761 NC Primary

Addresses

Primary practice location

755 Highland Oaks Dr Ste 102
Winston Salem, NC 27103-7106

Mailing address

PO Box 602658
Charlotte, NC 28260-2658
Phone (336) 716-2011

Other identifiers 1

IdentifierTypeStateIssuer
8912823MedicaidNC

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
I20050510001038 NC Practitioner - Pediatric Medicine 4981644200 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9801761NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatrics Pediatrics CurrentSince Mar 20, 2023 Accepting new patients
Carolinas Physicians Network Inc Pediatrics CurrentSince Mar 20, 2023 Accepting new patients
Carolinas Medical Center Pediatrics Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 20, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Medical Center Pediatrics CurrentSince Mar 20, 2023 Accepting new patients
University Pediatrics Pediatrics CurrentSince Mar 20, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Pediatrics CurrentSince Mar 20, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Mar 20, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Mar 20, 2023 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

101 E Wt Harris Blvd
Ste 1121
Charlotte, NC 28262
Phone (704) 717-2000

13640 Steelecroft Pkwy
Ste 210
Charlotte, NC 28278
Phone (704) 512-6100

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

251 Eastway Dr
Charlotte, NC 28213
Phone (704) 446-9991

3541 Randolph Rd
Ste 206
Charlotte, NC 28211
Phone (704) 381-8336

1085 NE Gateway Ct NE
Ste 290
Concord, NC 28025
Phone (704) 403-4650

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

705 Griffith St
Ste 100
Davidson, NC 28036
Phone (704) 801-7900

447 McAlister Rd
Ste 3300
Lincolnton, NC 28092
Phone (980) 212-2680

332 N Trade St
Ste 1500
Matthews, NC 28105
Phone (704) 512-6820

Organizations & group practices 12

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1063471654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602658",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602658",
            "telephone_number": "336-716-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HIGHLAND OAKS DR STE 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037106",
            "telephone_number": "336-713-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERWHITE",
        "first_name": "WILLIAM",
        "middle_name": "M.",
        "name_suffix": "III",
        "credential": "JD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9801761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912823",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.