William M Selvidge Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0000-38433 Issued in NC

Practice address

101 Manning Dr
Chapel Hill, NC 27599-0001

Phone

(919) 966-4996

Fax

(919) 843-5515

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Piedmont Health Services, Inc.

  dba Carrboro Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Carrboro, NC
  • NPI 1164526109
  Medicare reassignment NPD
• Piedmont Health Services, Inc.

  dba Piedmont Efland School Based Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Efland, NC
  • NPI 1528817590
  NPD
• Piedmont Health Services, Inc.

  dba Charles Drew Community Heallth Center

  • Federally Qualified Health Center (FQHC)
  • Burlington, NC
  • NPI 1588768527
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275694150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162539",
            "telephone_number": "919-966-4996",
            "fax_number": "919-843-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-4996",
            "fax_number": "919-843-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVIDGE",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0000-38433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8975232",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy P Sellers, M.D.
• Subhashini Appulingam Sellers, M.D.
• Kimberly Murdoch Sellinger, CCC-SLP
• Barry Selman, LCSW
• Mark Selna, MD
• Kimberly A Selzman, MD
• Richard Charles Semelka, MD
• Tahl Deboer Sendowski, PHD
• Yildiz Sengul, MD
• Brent A Senior, MD

• Family Medicine Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.