Active NPI
William Chavis Fields Jr., CFO
- Contractor
- Farmville, NC
National Provider Identifier
1336335041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- CFO02081
- Practice address
- 3637 S George St
Farmville, NC 27828-1897 - Phone
- (252) 753-5538
- NPI assigned
- Sep 18, 2007
- Last updated
- Sep 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | CFO02081 | NC | Primary |
Addresses
Primary practice location
3637 S George St
Farmville, NC 27828-1897
Mailing address
3637 S George St
Farmville, NC 27828-1897
Phone (252) 753-5538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFO02081 | NC | MD | Contractor |
Organizations & group practices 2
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.
-
- Home Health Agency
- Farmville, NC
- NPI 1215123252
-
- Home Health Agency
- Farmville, NC
- NPI 1407916117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1336335041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 S GEORGE ST",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278281897",
"telephone_number": "252-753-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 S GEORGE ST",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278281897",
"telephone_number": "252-753-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "WILLIAM",
"middle_name": "CHAVIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CFO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NC",
"license": "CFO02081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmville, NC
- Whitney Elvis, AGNP-C
- Family and Community Resources, Inc
- Farmville Discount Drug, Inc (Best Value Drug)
- Farmville Discount Drug, Inc. (Best Value Drug)
- Farmville Internal Medicine PA
- Forris IV Care Transportation LLC
- Staci Hobgood Garner, PHARM D
- Charlotte Whitehurst Goodwyn, FNP
- Ami Gopal
- Jessica Grady, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.