William Courtenay Dinwiddie Jr., M.D.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

200101194 Issued in NC

Practice address

55 Buckeye Cove Road
Canton, NC 28716

Phone

(828) 648-0282

Fax

(828) 648-3479

NPI assigned

Jan 24, 2007

Last updated

Aug 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Vanderbilt University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Haywood Regional Medical Center LLCGroup PAC ID 9638398340, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.dinwiddie.1@9865.direct.athenahealth.com

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.

• DLP Haywood Regional Medical Center LLC

  • Emergency Medicine Physician
  • Clyde, NC
  • NPI 1336542067
  Medicare reassignment Care Compare group NPD
• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641

  Family Medicine

  Medicare reassignment NPD
• DLP Haywood Regional Medical Center LLC

  dba Haywood Regional Medical Center Behavioral Health Unit

  • Psychiatric Hospital Unit
  • Clyde, NC
  • NPI 1568618379
  NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD
• DLP Haywood Regional Medical Center LLC.

  dba Haywood Regional Medical Center

  • General Acute Care Hospital
  • Clyde, NC
  • NPI 1811158215
  NPD (past)
• Prime Doc of Haywood, PA

  • Internal Medicine Physician
  • Clyde, NC
  • NPI 1992761886

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Haywood Regional Medical Center LLC.

  dba Haywood Regional Medical Center

  • General Acute Care Hospital
  • Clyde, NC
  • NPI 1811158215
  Care Compare affiliation

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1306991799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CONLEY STREET",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287866817",
            "telephone_number": "828-550-1314",
            "fax_number": "828-255-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BUCKEYE COVE ROAD",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "28716",
            "telephone_number": "828-648-0282",
            "fax_number": "828-648-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINWIDDIE",
        "first_name": "WILLIAM",
        "middle_name": "COURTENAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "200101194",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2001-01194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natosha E Cook, COTA/L
• Eddie Ray Davenport III, LCSW
• Jennifer Lynn Davis, FNP
• Ariana Debussey, PHARMD
• Gretchen Merritt Denton, CCC-SLP
• Barbara T Dubiel, M.D.
• Eckerd Corporation (Rite Aid Pharmacy 11557)
• Frank Cecil Etier Sr., R.PH.
• Matthew Christopher Evans, DPT
• Sara Fink, M.S.O.T.

• Urgent Care Clinic/Center in Canton, NC
• Providers in Canton, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.

Verify at the official NPI Registry.