Individual provider Active NPI

William Oliver Mann, D.O.

  • Psychiatry Physician
  • Wilson, NC
National Provider Identifier
1649211715
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200001510 Issued in NC
Practice address
308 Raleigh Road Pkwy W
Wilson, NC 27893-2945
Phone
(252) 548-6890
Fax
(252) 822-0194
NPI assigned
Jun 9, 2006
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200001510 NC Primary

Addresses

Primary practice location

308 Raleigh Road Pkwy W
Wilson, NC 27893-2945

Mailing address

308 Raleigh Road Pkwy W
Wilson, NC 27893-2945
Phone (919) 987-5113

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
I20050923000198 NC Practitioner - Psychiatry 0547294092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

502 McKnight Dr
Suite 201 202
Knightdale, NC 27545-7050
Phone (919) 803-2111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Behavioral Health Inc Psychiatry CurrentSince Oct 26, 2022 Accepting new patients
Living Well Behavioral Health, Inc. Psychiatry CurrentSince Oct 26, 2022 Accepting new patients
Albemarle Mental Health Center Past Accepting new patients
Intensive Mental Care Inc Psychiatry Past Accepting new patients
Abundant Health and Human Services Psychiatry Past Accepting new patients
Recovery Innovations, Inc Past Accepting new patients

Locations

2350 Bentridge Ln
Ste 301A
Fayetteville, NC 28304
Phone (910) 748-0261

502 McKnight Dr
Ste 201202
Knightdale, NC 27545
Phone (919) 803-2111

502 McKnight Dr
Ste 202
Knightdale, NC 27545
Phone (919) 803-2111

Organizations & group practices 6

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1649211715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 RALEIGH ROAD PKWY W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932945",
            "telephone_number": "919-987-5113",
            "fax_number": "252-822-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 RALEIGH ROAD PKWY W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932945",
            "telephone_number": "252-548-6890",
            "fax_number": "252-822-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "WILLIAM",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200001510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.