NPIMap

Individual provider Active NPI

William Alfred McClelland, MD

  • Otolaryngology Physician
  • Monroe, NC
National Provider Identifier
1174552707
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
94-00573 Issued in NC
Practice address
1107 Reynolds St
Monroe, NC 28112-4351
Phone
(704) 289-8220
Fax
(704) 752-7576
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 94-00573 NC Primary

Addresses

Primary practice location

1107 Reynolds St
Monroe, NC 28112-4351

Mailing address

1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 289-8220

Other identifiers 2

IdentifierTypeStateIssuer
8955797MedicaidNC
94-00573OtherNCSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080827000754 SC Practitioner - Otolaryngology 4486552817 Reassigns benefits to 1 organization
Practice locations: Fort Mill, SC
I20101011000078 NC Practitioner - Otolaryngology 4486552817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Virginia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Ear Nose and Throat PAGroup PAC ID 8325946759, 9 clinicians

Practice addresses (Care Compare)

1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 752-7575

7666 Charlotte Hwy
Suite 220
Indian Land, SC 29707-0004
Phone (704) 752-7575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-00573NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Ear Nose & Throat PA Otolaryngology CurrentSince Mar 19, 2023 Accepting new patients
Cornerstone Ear Nose & Throat PA CurrentSince Aug 18, 1997 Accepting new patients
Limestone Surgery Center LLC Past Accepting new patients

Locations

8035 Providence Rd
Ste 320
Charlotte, NC 28277
Phone (704) 752-7575

1107 Reynolds St
Monroe, NC 28112
Phone (704) 289-8220

7666 Charlotte Hwy
Ste 220
Indian Land, SC 29707
Phone (704) 752-7575

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

Interoperability endpoints

  • Direct secure messaging: wmcclelland499817@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: dr.mcclelland@direct.csent.nchie.net

Organizations & group practices 3

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 7

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1174552707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 REYNOLDS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124351",
            "telephone_number": "704-289-8220",
            "fax_number": "704-752-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 REYNOLDS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124351",
            "telephone_number": "704-289-8220",
            "fax_number": "704-752-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "WILLIAM",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "94-00573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8955797",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "94-00573",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.