Individual provider Active NPI

William C. Ramsey

  • Orthopaedic Surgery Physician
  • Albemarle, NC
National Provider Identifier
1265537252
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
16642 Issued in NC
Practice address
105 Yadkin St
Ste 101
Albemarle, NC 28001-3449
Phone
(704) 983-5195
Fax
(704) 512-4838
NPI assigned
Sep 14, 2006
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 17060 KY
Orthopaedic Surgery Physician 207X00000X 12547 GA
Orthopaedic Surgery Physician 207X00000X 4459 NC
Orthopaedic Surgery Physician 207X00000X 01042078A IN
Orthopaedic Surgery Physician 207X00000X 16642 NC Primary

Addresses

Primary practice location

105 Yadkin St
Ste 101
Albemarle, NC 28001-3449

Mailing address

PO Box 601888
Charlotte, NC 28260-1888
Phone (704) 983-5195

Other identifiers 4

IdentifierTypeStateIssuer
406201014OtherRAILROAD MEDICARE
1265537252MedicaidNC
00000004574OtherANTHEM BCBS
64170608MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20141003001587 GA Practitioner - Orthopedic Surgery 2163325408 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4459NCMDGeneral Practice Dentistry
12547GAMDOrthopaedic Surgery Physician
01042078AINMDOrthopaedic Surgery Physician
17060KYMDOrthopaedic Surgery Physician
16642NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Jul 15, 2014 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Jul 15, 2014 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients
Mark O Gladstein MD PLLC Orthopaedic Surgery Past Accepting new patients

Locations

316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815

1908 Alice St
Waycross, GA 31501
Phone (912) 338-6010

1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1265537252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601888",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601888",
            "telephone_number": "704-983-5195",
            "fax_number": "704-512-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "address_2": "STE 101",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013449",
            "telephone_number": "704-983-5195",
            "fax_number": "704-512-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "WILLIAM",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "17060",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "12547",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "4459",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01042078A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "16642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406201014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265537252",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "00000004574",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64170608",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.