Individual provider Active NPI

William Austin Wike, MD

  • General Practice Physician
  • Flat Rock, NC
National Provider Identifier
1255905386
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2024-01510 Issued in NC
Practice address
104 College Dr
Flat Rock, NC 28731-7756
Phone
(800) 226-8874
NPI assigned
May 13, 2021
Last updated
May 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2024-01510 NC Primary

Addresses

Primary practice location

104 College Dr
Flat Rock, NC 28731-7756

Mailing address

37 Magnolia Dr
Canton, NC 28716-8201
Phone (828) 808-3010

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806002914 NC Practitioner - General Practice 8325448657 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Howard University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care North Carolina PLLCGroup PAC ID 5193058873, 14 clinicians

Practice addresses (Care Compare)

115 N Country Club Rd
Brevard, NC 28712-8990
Phone (201) 870-1194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9800419NCMDFamily Medicine Physician
2024-01510NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Healthcare Group LLC CurrentSince Sep 6, 2025 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince May 19, 2025 Accepting new patients
QSM-NC, PA CurrentSince Jun 24, 2024 Accepting new patients
Integrated Wound Care North Carolina PLLC General Practice CurrentSince Jan 5, 2025 Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

115 N Country Club Rd
Brevard, NC 28712
Phone (828) 553-2546

104 College Dr
Flat Rock, NC 28731
Phone (828) 639-8600

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1255905386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MAGNOLIA DR",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287168201",
            "telephone_number": "828-808-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COLLEGE DR",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287317756",
            "telephone_number": "800-226-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKE",
        "first_name": "WILLIAM",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2024-01510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

Verify at the official NPI Registry.