Individual provider Active NPI

William Dukes Jr., MD

  • Family Medicine Physician
  • Clemson, SC
National Provider Identifier
1346281912
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10283 Issued in SC
Practice address
386 College Ave
Clemson, SC 29631
Phone
(864) 654-2067
Fax
(864) 654-3261
NPI assigned
Jun 8, 2006
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10283 SC Primary

Addresses

Primary practice location

386 College Ave
Clemson, SC 29631

Mailing address

386 College Ave
Clemson, SC 29631-1432
Phone (864) 654-2067

Other identifiers 3

IdentifierTypeStateIssuer
080186317OtherSCRR MEDICARE
0104890OtherMEDCOST
102837MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100223000477 SC Practitioner - Family Practice 8729122189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rosa Clark Medical Clinic Association, Inc. Family Medicine CurrentSince May 6, 2018 Accepting new patients
Rosa Clark Medical Center CurrentSince May 6, 2018 Accepting new patients

Locations

210 S Oak St
Seneca, SC 29678
Phone (864) 614-5990

301 Memorial Dr
Seneca, SC 29672
Phone (864) 614-5617

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1346281912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311432",
            "telephone_number": "864-654-2067",
            "fax_number": "864-654-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "29631",
            "telephone_number": "864-654-2067",
            "fax_number": "864-654-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080186317",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "0104890",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102837",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

Verify at the official NPI Registry.