William Griffith Blackard Jr., MD
Individual provider Active NPI Gastroenterology Physician · Lexington, NC
NPI 1336253236 · NPPES record last updated Apr 24, 2012
Key facts
- NPI
- 1336253236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 9700475 (NC)
- Practice address
- 11 Medical Park Dr
Lexington, NC 27292-6768 - Phone
- (336) 243-5971
- Fax
- (336) 243-5976
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Virginia Commonwealth University, School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Forest University Health Sciences
Practice addresses (Care Compare)
250 Hospital Dr
Lexington, NC 27292-6792
Phone (336) 716-2734
Hospital & facility affiliations
- North Carolina Baptist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 13 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080117000368 | NC | Practitioner - Gastroenterology | 2961306154 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Gastroenterology | Current |
Accepting new patients |
| Wake Forest University Health Sciences | Past | Accepting new patients |
Locations
11 Medical Park Dr
Lexington, NC 27292
Phone (336) 243-5971
2 Hospital Dr
Lexington, NC 27292
Phone (336) 243-2436
250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150
799 Hickory Tree Rd
Winston Salem, NC 27127
Phone (336) 702-1253
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- wblackard2754262@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 9700475 | NC | Yes |
Addresses
Primary practice location
11 Medical Park Dr
Lexington, NC 27292-6768
Mailing address
11 Medical Park Dr
Lexington, NC 27292-6768
Phone (336) 243-5971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-1045N | Medicaid | NC | |
| 19484 | Other | NC | PARTNERS MDC |
| 203477 | Other | NC | MEDCOST |
| 1045N | Other | NC | BCBS OF NC |
| 2902723 | Other | UNITED HEALTHCARE |
Other providers in Lexington, NC
- Tristan Jared Bennett
- Eron Bertschi
- Best Chiropractic PLLC
- Better Tomorrows Psychiatry and Emotional Health
- James Franklin Black
- Andrew Blish
- Katie L Bloodworth
- Brie Ann Bolander
- Sarah Kathryn Bolen
- Karl E Bolstad
All providers in Lexington, NC · Gastroenterology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.