Individual provider Active NPI

William Edward Cockfield, MPAC

  • Surgical Physician Assistant
  • Durham, NC
National Provider Identifier
1225296825
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0010-01303 Issued in NC
Practice address
2301 Erwin Rd RM 7451H
Dumc 3174
Durham, NC 27710-3174
Phone
(919) 681-5816
Fax
(919) 684-8493
NPI assigned
May 30, 2008
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0010-01303 NC Primary

Addresses

Primary practice location

2301 Erwin Rd RM 7451H
Dumc 3174
Durham, NC 27710-3174

Mailing address

2301 Erwin Rd RM 7451H
Dumc 3174
Durham, NC 27710-3174
Phone (919) 681-5816

Other identifiers 1

IdentifierTypeStateIssuer
0010-01303OtherNCPA-C LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000698 NC Practitioner - Physician Assistant 4880769249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Dec 19, 2017 Accepting new patients
Southeastern Regional Physician Services CurrentSince Dec 19, 2017 Accepting new patients

Locations

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

500 W 27th St
Lumberton, NC 28358
Phone (910) 618-0441

Interoperability endpoints

  • Direct secure messaging: wcockfield13383@direct.medicine.duke.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1225296825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD RM 7451H",
            "address_2": "DUMC 3174",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277103174",
            "telephone_number": "919-681-5816",
            "fax_number": "919-684-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD RM 7451H",
            "address_2": "DUMC 3174",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277103174",
            "telephone_number": "919-681-5816",
            "fax_number": "919-684-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKFIELD",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MPAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-01303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C  LICENSE",
            "identifier": "0010-01303",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.