Individual provider Active NPI

William Jesse Johncock, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Hickory, NC
National Provider Identifier
1346278629
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
348 Issued in NC
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
890808 NMedicaidNC
0808 NOtherNCBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000387 NC Practitioner - PodiatryPractitioner - Sports Medicine 5193821585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
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

ProcedureNumber of procedures
Removal of tissue65
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
348NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Podiatry Center PLLC Foot & Ankle Surgery CurrentSince Jul 1, 1996 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

  • Direct secure messaging: drjohncock@cpcp-nc.direct.office.nextgen.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.