William James Donnelly III, PA-C

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

100540 Issued in NC

Practice address

3322 Country Club Rd
Morehead City, NC 28557-6112

Phone

(252) 726-2901

NPI assigned

Jun 14, 2006

Last updated

Sep 11, 2025By 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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609819564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 COUNTRY CLUB RD",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285576112",
            "telephone_number": "252-726-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 COUNTRY CLUB RD",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285576112",
            "telephone_number": "252-726-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100540",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NC",
            "license": "100540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystle Diefenbach, LCMHCA
• Amanda Dixon, CMF
• Margaret Anne Dolan, PA-C
• Nancy S Domanski
• Donald L Westbrook, DDS, PA
• Carol Sue Doty, PNP
• Janice M. Douglas, AA
• Down East Medical Associates
• Dr. Barrett Davis, Jr. DDS PA
• Dr. Cherryl a. Davis

• Preventive Medicine/Occupational Environmental Medicine Physician in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.