Organization Active NPI

William D King

  • Internal Medicine Physician
  • Eufaula, AL
National Provider Identifier
1376742551
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11000 Issued in AL
Legal business name
WILLIAM D KING
Practice address
324 Macon St
Suite 2
Eufaula, AL 36027-1810
Phone
(334) 687-2494
Fax
(334) 687-5584
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. William D King, M.D.NPI 1891715892
Title
Owner
Phone
(334) 687-2494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11000 AL Primary

Addresses

Primary practice location

324 Macon St
Suite 2
Eufaula, AL 36027-1810

Mailing address

324 Macon St
Suite 2
Eufaula, AL 36027-1810
Phone (334) 687-2494

Other identifiers 4

IdentifierTypeStateIssuer
515-21355OtherALBCBS
51011753OtherALBCBSAL
000011753MedicaidAL
00265537A4OtherGAMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510001283 AL Part B Supplier - Clinic/Group Practice 3870582398 Receives reassigned benefits from 2 practitioners
Practice locations: Eufaula, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0303777William D King MD324 Macon Street, Eufaula, AL 36027Certificate of waiverMay 30, 2027

National Provider Directory

National Provider Directory

Locations

324 Macon St
Ste 2
Eufaula, AL 36027
Phone (334) 687-2494

324 Macon St
#B
Eufaula, AL 36027
Phone (334) 687-2494

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1376742551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MACON ST",
            "address_2": "SUITE 2",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271810",
            "telephone_number": "334-687-2494",
            "fax_number": "334-687-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MACON ST",
            "address_2": "SUITE 2",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271810",
            "telephone_number": "334-687-2494",
            "fax_number": "334-687-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D KING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-687-2494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "11000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-21355",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "51011753",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000011753",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "00265537A4",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.