Individual provider Active NPI

William Ronald Moffitt, M.D.

  • Family Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1437119260
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23864 Issued in NC
Practice address
800 N Justice St
Hendersonville, NC 28791-3410
Phone
(828) 696-1000
NPI assigned
Mar 24, 2006
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23864 NC Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 23864 NC

Addresses

Primary practice location

800 N Justice St
Hendersonville, NC 28791-3410

Mailing address

PO Box 27877
Salt Lake City, UT 84127-0877
Phone (828) 694-8385

Other practice location 1

643 5th Ave W
Hendersonville, NC 28739
Phone (828) 693-5225

Other identifiers 2

IdentifierTypeStateIssuer
8959940MedicaidNC
202373KOtherNCMEDICARE PTAN

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
I20090518000504 NC Practitioner - Family Practice 2466540661 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9135NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Mar 21, 2009 Accepting new patients
Henderson County Hospital Corp CurrentSince Mar 21, 2009 Accepting new patients
Henderson County Hospital Corporation Family Medicine Current Accepting new patients
Henderson County Urgent Care Center Inc CurrentSince May 1, 2019 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
#16
Hendersonville, NC 28791
Phone (828) 694-8350

212 Thompson St
Ste A
Hendersonvlle, NC 28792
Phone (828) 697-3232

643 5th Ave W
Hendersonvlle, NC 28739
Phone (828) 693-5225

705 6th Ave W
Ste A
Hendersonvlle, NC 28739
Phone (828) 639-3193

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

3334 Boylston Hwy
Ste 10
Mills River, NC 28759
Phone (828) 694-8100

Organizations & group practices 4

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1437119260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27877",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270877",
            "telephone_number": "828-694-8385",
            "fax_number": "828-694-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N JUSTICE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913410",
            "telephone_number": "828-696-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "643 5th Ave W",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "28739",
            "country_code": "US",
            "telephone_number": "828-693-5225",
            "fax_number": "828-693-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "WILLIAM",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "23864",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "23864",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959940",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202373K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.