NPIMap

Individual provider Active NPI

William Roy Doheny, MD

  • Family Medicine Physician
  • Mooresville, NC
National Provider Identifier
1194741991
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9300455 Issued in NC
Practice address
202 Williamson Rd
Suite 100
Mooresville, NC 28117-7610
Phone
(704) 799-7811
Fax
(704) 799-7812
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9300455 NC Primary

Addresses

Primary practice location

202 Williamson Rd
Suite 100
Mooresville, NC 28117-7610

Mailing address

202 Williamson Rd
Suite 100
Mooresville, NC 28117-7610
Phone (704) 799-7811

Other identifiers 3

IdentifierTypeStateIssuer
890175XMedicaidNC
F67110OtherNCNC UPIN
28816OtherNCNC BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.doheny.1@4693.direct.athenahealth.com

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
I20080512000581 NC Practitioner - Family Practice 5698854974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

202 Williamson Rd
Suite 100
Mooresville, NC 28117-7610
Phone (704) 799-7811

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14526NCMDDental Hygienist
9300455NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Mooresville Hma Physician Management, Inc. Family Medicine Past Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

202 Williamson Rd
Ste 100
Mooresville, NC 28117
Phone (704) 799-7811

131 Medical Park Rd
Ste 302
Mooresville, NC 28117
Phone (704) 660-4750

202 Williamson Rd
#100
Mooresville, NC 28117
Phone (704) 799-7811

Interoperability endpoints

  • Direct secure messaging: william.doheny.1@4693.direct.athenahealth.com
  • Direct secure messaging: wdoheny623461@direct.medicine.duke.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 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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1194741991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WILLIAMSON RD",
            "address_2": "SUITE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177610",
            "telephone_number": "704-799-7811",
            "fax_number": "704-799-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WILLIAMSON RD",
            "address_2": "SUITE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177610",
            "telephone_number": "704-799-7811",
            "fax_number": "704-799-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHENY",
        "first_name": "WILLIAM",
        "middle_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9300455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890175X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC UPIN",
            "identifier": "F67110",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "28816",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.doheny.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct access",
            "address_1": "202 Williamson Rd",
            "address_2": "Suite 100",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281177610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.