Active NPI
William Jesse Johncock, D.P.M
- Foot & Ankle Surgery Podiatrist
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 348
- Practice address
- 36 14TH Ave NE
Suite 102
Hickory, NC 28601-2581 - Phone
- (828) 327-3029
- Fax
- (828) 327-3181
- NPI assigned
- Jun 28, 2006
- Last updated
- Dec 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 348 | NC | Primary |
Addresses
Primary practice location
36 14TH Ave NE
Suite 102
Hickory, NC 28601-2581
Mailing address
36 14TH Ave NE
Suite 102
Hickory, NC 28601-2581
Phone (828) 327-3029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890808 N | Medicaid | NC | |
| 0808 N | Other | NC | BLUE CROSS BLUE SHIELDNC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
36 14TH Ave NE
Suite 102
Hickory, NC 28601-2581
Phone (828) 327-3029
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 65 |
| Removal of nail tissue | 12 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Podiatry Center PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
36 14th Ave NE
Ste 102
Hickory, NC 28601
Phone (828) 327-3029
419 2nd St NW
Ste B
Hickory, NC 28601
Phone (828) 327-3029
Interoperability endpoints
- drjohncock@cpcp-nc.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Hickory, NC
- NPI 1942338538
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1346278629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 14TH AVE NE",
"address_2": "SUITE 102",
"city": "HICKORY",
"state": "NC",
"postal_code": "286012581",
"telephone_number": "828-327-3029",
"fax_number": "828-327-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 14TH AVE NE",
"address_2": "SUITE 102",
"city": "HICKORY",
"state": "NC",
"postal_code": "286012581",
"telephone_number": "828-327-3029",
"fax_number": "828-327-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNCOCK",
"first_name": "WILLIAM",
"middle_name": "JESSE",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890808 N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELDNC",
"identifier": "0808 N",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.