Active NPI
Michael Lee Williford, MD
- Surgery Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2020-02945
- Practice address
- 3024 New Bern Ave
Raleigh, NC 27610-1247 - Phone
- (919) 350-7331
- Fax
- (919) 871-1228
- NPI assigned
- May 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 82483 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 2020-02945 | NC | Primary |
Addresses
Primary practice location
3024 New Bern Ave
Raleigh, NC 27610-1247
Mailing address
2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490
Other practice location 1
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (919) 966-4653
Other practice location 2
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (919) 966-4653
Other practice location 3
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwilliford33686@directHISP.wakemed.org | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200824001400 | NC | Practitioner - General Surgery | 4385868017 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wake Forest University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wakemed Specialists Group LLC
Practice addresses (Care Compare)
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone (919) 350-7856
Hospital & facility affiliations
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82483 | GA | MD | Surgery Physician |
| 2020-02945 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Surgery | Current | Accepting new patients |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Surgery | Current | Accepting new patients |
Locations
300 Ashville Ave
Cary, NC 27518
Phone (919) 235-6570
601 Attain St
Fuquay Varina, NC 27526
Phone (919) 235-6571
2920 Highwoods Blvd
Raleigh, NC 27604
10208 Cerny St
Raleigh, NC 27617
Phone (919) 234-4468
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- mwilliford33686@directhisp.wakemed.org
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
NC, Surgery
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1841956943
-
- Durable Medical Equipment & Medical Supplies
- Cary, NC
- NPI 1093370249
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1093370389
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1376108522
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1588229777
-
- Durable Medical Equipment & Medical Supplies
- Garner, NC
- NPI 1992360960
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
Hospital & facility affiliations 3
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": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1306256706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 HIGHWOODS BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276040010",
"telephone_number": "877-498-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101247",
"telephone_number": "919-350-7331",
"fax_number": "919-871-1228"
}
],
"practiceLocations": [
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "919-966-4653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "919-966-4653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30322",
"country_code": "US",
"telephone_number": "404-712-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIFORD",
"first_name": "MICHAEL",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-07",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "82483",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2020-02945",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwilliford33686@directHISP.wakemed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "xml",
"address_1": "3024 New Bern Ave",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276101247",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.