Active NPI
William Reece McWilliams, M.D.
- Dermatology Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 7065
- Practice address
- 3 Richland Medical Park Dr
Suite 500
Columbia, SC 29203-6849 - Phone
- (803) 779-7316
- Fax
- (803) 343-2538
- NPI assigned
- Feb 13, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 7065 | SC | Primary |
Addresses
Primary practice location
3 Richland Medical Park Dr
Suite 500
Columbia, SC 29203-6849
Mailing address
3 Richland Medical Park Dr
Suite 500
Columbia, SC 29203-6849
Phone (803) 779-7316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070017294 | Other | SC | RAILROAD MEDICARE |
| 070657 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CSC Acquisition, LLC | Dermatology | Current | Accepting new patients |
| CSC Acquisition, LLC | Dermatology | Current | Accepting new patients |
| CSC Acquisition, LLC | Dermatology | Current | Accepting new patients |
Locations
1205 Lyttleton St
Camden, SC 29020
Phone (803) 432-5783
3 Richland Medical Park Dr
Ste 500
Columbia, SC 29203
Phone (803) 779-7316
3600 Forest Dr
Ste 400
Columbia, SC 29204
Phone (803) 779-7316
7039 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0097
Organizations & group practices 3
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.
-
dba Columbia Skin Clinic, LLC
- Dermatology Physician
- Columbia, SC
- NPI 1972576536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1396718979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RICHLAND MEDICAL PARK DR",
"address_2": "SUITE 500",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036849",
"telephone_number": "803-779-7316",
"fax_number": "803-343-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RICHLAND MEDICAL PARK DR",
"address_2": "SUITE 500",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036849",
"telephone_number": "803-779-7316",
"fax_number": "803-343-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "WILLIAM",
"middle_name": "REECE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "7065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070017294",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070657",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.