NPIMap

Individual provider Active NPI

William Thomas Smith IV, MD

  • Clinical Cardiac Electrophysiology Physician
  • Wilmington, NC
National Provider Identifier
1144338161
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
9901325 Issued in NC
Practice address
1500 Physicians Dr
Wilmington, NC 28401-7356
Phone
(910) 662-9500
Fax
(910) 662-9501
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 9901325 NC Primary

Addresses

Primary practice location

1500 Physicians Dr
Wilmington, NC 28401-7356

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Other practice location 1

800 Jefferson St
Ste 112
Whiteville, NC 28472-3710
Phone (910) 642-8164

Other practice location 2

7420 Market St
Wilmington, NC 28411-9453
Phone (910) 686-2525

Other practice location 3

1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 343-9991

Other practice location 4

5145 S College Rd
Wilmington, NC 28412-2207
Phone (910) 792-1144

Other practice location 5

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address wsmith54306@direct.nhrmc.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000583 NC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6406837095 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of North Carolina at Chapel Hill School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group Coastal Region LLCGroup PAC ID 2860809936, 577 clinicians
Novant Health New Hanover Regional Medical Center LLCGroup PAC ID 7113330168, 204 clinicians
Pender Memorial Hospital IncorporatedGroup PAC ID 9638066095, 24 clinicians

Practice addresses (Care Compare)

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983
Phone (910) 662-9073

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044

507 E Fremont St
Burgaw, NC 28425-5131
Phone (910) 300-4000

9104 Market St
Wilmington, NC 28411-7994
Phone (910) 686-2840

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068
  • Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39713CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pender Memorial Hospital, Incorporated CurrentSince Jul 1, 2024 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Jul 1, 2024 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 1, 2021 Accepting new patients
Brunswick Community Hospital, LLC CurrentSince Oct 16, 2025 Accepting new patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Jul 1, 2024 Accepting new patients
Pender Memorial Hospital Incorporated CurrentSince Jul 1, 2024 Accepting new patients
Coastal Cardiology Associates, PA Current Accepting new patients
Health Sciences Foundation Inc. Past Accepting new patients
David C P Chen, M.D., Inc PastSince Dec 20, 2023 Accepting new patients
New Hanover Medical Group PA Past Accepting new patients
Coastal Dermatology & Surgery Center, PA PastSince Jan 14, 2002 Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

584 Hospital Dr NE
Unit E
Bolivia, NC 28422
Phone (910) 754-5453

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1500 Physicians Dr
Wilmington, NC 28401
Phone (910) 736-6332

2504 Delaney Ave
Wilmington, NC 28403
Phone (910) 343-0626

1960 S 16th St
Wilmington, NC 28401
Phone (910) 343-9991

7420 Market St
Wilmington, NC 28411
Phone (910) 662-6200

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

2221 S 17th St
Wilmington, NC 28401
Phone (910) 662-7720

1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766

2150 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 662-9300

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

5145 College Rd S
Wilmington, NC 28412
Phone (910) 662-6000

Interoperability endpoints

  • Direct secure messaging: wsmith1464586@direct.novanthealth.org
  • Direct secure messaging: wsmith@crhn.cernerdirect.com

Organizations & group practices 18

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 18

Hospital & facility affiliations 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1144338161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017356",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Jefferson St",
            "address_2": "Ste 112",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723710",
            "country_code": "US",
            "telephone_number": "910-642-8164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7420 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119453",
            "country_code": "US",
            "telephone_number": "910-686-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-343-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 S College Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122207",
            "country_code": "US",
            "telephone_number": "910-792-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017338",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "9901325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1415 Physicians Dr",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wsmith54306@direct.nhrmc.org",
            "affiliation": "N",
            "address_1": "1415 Physicians Dr",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.