Individual provider Active NPI

William Hal Hatchett, DPM

  • Foot & Ankle Surgery Podiatrist
  • Summerville, SC
National Provider Identifier
1083689400
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
556 Issued in SC
Practice address
299 Midland Pkwy # B
Summerville, SC 29485-8104
Phone
(843) 851-9069
Fax
(843) 871-8248
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 556 SC Primary

Addresses

Primary practice location

299 Midland Pkwy # B
Summerville, SC 29485-8104

Mailing address

299 Midland Pkwy # B
Summerville, SC 29485-8104
Phone (843) 851-9069

Other identifiers 2

IdentifierTypeStateIssuer
P00331715OtherSCRR MEDICARE
PD5561MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060926000205 SC Practitioner - Podiatry 1850396839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Podiatry IncGroup PAC ID 7214932201, 4 clinicians

Practice addresses (Care Compare)

4340 Ladson Rd
Suite C
Ladson, SC 29456-6444
Phone (843) 851-9069

Hospital & facility affiliations

  • Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue187
Removal of skin lesions1-10
Removal of nail tissue78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
556SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Podiatry Inc Foot & Ankle Surgery Current Accepting new patients
Coastal Carolina Podiatry Inc Foot & Ankle Surgery CurrentSince Jun 30, 2006 Accepting new patients

Locations

4340 Ladson Rd
Ste C
Ladson, SC 29456
Phone (843) 376-5348

2891 Tricom St
Ste A
North Charleston, SC 29406
Phone (843) 789-1850

1229 Nexton Pkwy
Unit C3
Summerville, SC 29486
Phone (843) 851-9069

299 Midland Pkwy
#B
Summerville, SC 29485
Phone (843) 821-5085

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1083689400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MIDLAND PKWY # B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858104",
            "telephone_number": "843-851-9069",
            "fax_number": "843-871-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 MIDLAND PKWY # B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858104",
            "telephone_number": "843-851-9069",
            "fax_number": "843-871-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHETT",
        "first_name": "WILLIAM",
        "middle_name": "HAL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00331715",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5561",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.