Active NPI
William C Graham, M.D.
- Orthopaedic Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2015-00847
- Practice address
- 6300 Carmel Rd Ste 140
Charlotte, NC 28226 - Phone
- (919) 923-3739
- NPI assigned
- Sep 16, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A129260 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | 2015-00847 | NC | Primary |
Addresses
Primary practice location
6300 Carmel Rd Ste 140
Charlotte, NC 28226
Mailing address
2107 Cumberland Ave
Charlotte, NC 28203-6010
Phone (919) 923-3739
Other practice location 1
10650 Park Rd
Suite 120
Charlotte, NC 28210-8538
Phone (704) 323-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558510438 | Medicaid | NC | |
| NC2418 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A129260 | CA | MD | Orthopaedic Surgery Physician |
| 2015-00847 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Past | Accepting new patients |
Locations
10650 Park Rd
Ste 120
Charlotte, NC 28210
Phone (704) 667-5770
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
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 and National Provider Directory roles.
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- NPI 1588805790
-
- Orthopaedic Surgery Physician
- Indian Land, SC
- NPI 1619641453
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1104843978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1558510438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 CUMBERLAND AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282036010",
"telephone_number": "919-923-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 CARMEL RD STE 140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28226",
"telephone_number": "919-923-3739"
}
],
"practiceLocations": [
{
"address_1": "10650 Park Rd",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108538",
"country_code": "US",
"telephone_number": "704-323-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "WILLIAM",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A129260",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2015-00847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558510438",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC2418",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.