William Carlton Cabaniss Jr., P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1554 Union Rd Ste C
Gastonia, NC 28054-5581

Phone

(704) 678-8876

Fax

(704) 772-0723

NPI assigned

Aug 25, 2006

Last updated

Oct 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Premier Integrated Health

  • Adult Mental Health Clinic/Center
  • Gastonia, NC
  • NPI 1205204138
  NPD (past) Authorized official
• Foothills Internal Medicine

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1043398209

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1497862155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7384 DAN RHYNE RD",
            "city": "VALE",
            "state": "NC",
            "postal_code": "281689427",
            "telephone_number": "843-817-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 UNION RD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545581",
            "telephone_number": "704-678-8876",
            "fax_number": "704-772-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANISS",
        "first_name": "WILLIAM",
        "middle_name": "CARLTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02367",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Via-Tonda E. Byers, LMFT
• Orrin Anthony Bynes, MSW, LCSW
• Andria N Byrd
• Catherine Joy Caballes, PHYSICAL THERAPIST
• Rhoneil Leir Caballes, PT
• Maria Ivanovna Cables, CRNA
• William J Caddick, M.D.
• Stephanie Cain
• Jessica Bridges Calder, NP-C
• Gretchen Theresa Caldwell, FNP-C

• Medical Physician Assistant in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.