Active NPI
William Lynnewood Garlick Jr., M. D.
- Family Medicine Physician
- Pittsboro, NC
National Provider Identifier
1639181209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24591
- Practice address
- 200 E Salisbury St
Pittsboro, NC 27312-5452 - Phone
- (919) 545-0580
- Fax
- (919) 545-0265
- NPI assigned
- Aug 12, 2006
- Last updated
- Sep 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24591 | NC | Primary |
Addresses
Primary practice location
200 E Salisbury St
Pittsboro, NC 27312-5452
Mailing address
200 E Salisbury St
Pittsboro, NC 27312-5452
Phone (919) 545-0580
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34563 | Other | NC | BLUE CROSS |
| 8934563 | Medicaid | NC | |
| EIN562385964 | Other | NC | TAX ID |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080219000237 | NC | Practitioner - Family Practice | 7113000878 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24591 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Family Medicine and Obstetrics, P.a. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1619203916
-
- Family Medicine Physician
- Sanford, NC
- NPI 1720094543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1639181209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E SALISBURY ST",
"city": "PITTSBORO",
"state": "NC",
"postal_code": "273125452",
"telephone_number": "919-545-0580",
"fax_number": "919-545-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E SALISBURY ST",
"city": "PITTSBORO",
"state": "NC",
"postal_code": "273125452",
"telephone_number": "919-545-0580",
"fax_number": "919-545-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLICK",
"first_name": "WILLIAM",
"middle_name": "LYNNEWOOD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "24591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "34563",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8934563",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "EIN562385964",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.