Individual provider Active NPI

William Louis Cauthen Jr., MD

  • Emergency Medicine Physician
  • Florence, SC
National Provider Identifier
1174507578
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12928 Issued in SC
Practice address
805 Pamplico Hwy
Florence, SC 29505-6047
Phone
(843) 674-5143
Fax
(843) 674-5146
NPI assigned
Nov 30, 2005
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2021034317 MO
Emergency Medicine Physician 207P00000X 57335 KY
Emergency Medicine Physician 207P00000X 12928 SC Primary

Addresses

Primary practice location

805 Pamplico Hwy
Florence, SC 29505-6047

Mailing address

947 S Irby St
Florence, SC 29501-5238
Phone (843) 629-7074

Other identifiers 1

IdentifierTypeStateIssuer
129284MedicaidSC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000406 SC Practitioner - Emergency Medicine 2163477233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Carolina School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies South Carolina LLCGroup PAC ID 1355705070, 16 clinicians

Practice addresses (Care Compare)

1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone (469) 340-1366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021034317MOMDEmergency Medicine Physician
12928SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of South Carolina Ed PLLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Ies South Carolina LLC Emergency Medicine CurrentSince Oct 30, 2023 Accepting new patients
County of Florence PastSince Oct 1, 1992 Accepting new patients
QHG of South Carolina Inc Past Accepting new patients

Locations

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Interoperability endpoints

  • Direct secure messaging: wcauthen260207@direct.musc.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1174507578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015238",
            "telephone_number": "843-629-7074",
            "fax_number": "843-629-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056047",
            "telephone_number": "843-674-5143",
            "fax_number": "843-674-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUTHEN",
        "first_name": "WILLIAM",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2021034317",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "57335",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "12928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129284",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.