William R Fox, M.D.

Individual provider Active NPI Psychiatry Physician · King, NC

NPI 1164514675 · NPPES record last updated Sep 16, 2008

Key facts

NPI
1164514675
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
9800250 (NC)
Practice address
741 Spainhour Rd
King, NC 27021-9393
Phone
(336) 985-0625
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Psychiatry
Education
Wake Forest University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pqa Healthcare, Inc. (3 clinicians)

Practice addresses (Care Compare)

701 S Main St
Dobson, NC 27017-8593
Phone (336) 356-2600

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040422001399 NC Practitioner - Psychiatry 1951397165 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebrite Hospital Group of Stokes, LLC Current
since May 1, 2019
Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current Accepting new patients
Pqa Healthcare, Inc. Current
since Jan 1, 2009
Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current
since May 1, 2019
Accepting new patients
Carolinas Medical Center Past Accepting new patients

Locations

1570 NC 8 and 89 Hwy N
Danbury, NC 27016
Phone (336) 593-2831

1030 Hospice Dr
Danbury, NC 27016
Phone (336) 593-5354

701 S Main St
Dobson, NC 27017
Phone (336) 356-2600

402 W King St
King, NC 27021
Phone (336) 529-4304

741 Spainhour Rd
King, NC 27021
Phone (336) 983-0941

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9800250 NC Yes

Addresses

Primary practice location

741 Spainhour Rd
King, NC 27021-9393

Mailing address

1305 S Cannon Blvd
Kannapolis, NC 28083-6232

Other identifiers

IdentifierTypeStateIssuer
89131PHMedicaidNC

Other providers in King, NC

All providers in King, NC · Psychiatry Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.