Organization Active NPI

William J Mattox MD PA

  • Family Medicine Physician
  • Hampstead, NC
National Provider Identifier
1114116662
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18278 Issued in NC
Legal business name
WILLIAM J MATTOX MD PA
Practice address
16150 US Highway 17 N Ste C
Hampstead, NC 28443-7308
Phone
(910) 270-2515
Fax
(910) 270-3544
NPI assigned
Oct 22, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. William J Mattox, MD
Title
President
Phone
(910) 270-2515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18278 NC Primary

Addresses

Primary practice location

16150 US Highway 17 N Ste C
Hampstead, NC 28443-7308

Mailing address

16150 US Highway 17 N Ste C
Hampstead, NC 28443-7308
Phone (910) 270-2515

Other identifiers 1

IdentifierTypeStateIssuer
DF0388OtherNCPALMETTO GBA-RAILROAD MCR

National Provider Directory

National Provider Directory

Locations

5212 College Rd N
Ste B
Castle Hayne, NC 28429
Phone (910) 675-0333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1114116662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 US HIGHWAY 17 N STE C",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437308",
            "telephone_number": "910-270-2515",
            "fax_number": "910-270-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 US HIGHWAY 17 N STE C",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437308",
            "telephone_number": "910-270-2515",
            "fax_number": "910-270-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J MATTOX MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MATTOX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-270-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "18278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MCR",
            "identifier": "DF0388",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.