Individual provider Active NPI

William Martin, MD

  • Family Medicine Physician
  • Moncure, NC
National Provider Identifier
1649619495
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
256386 Issued in MA
Practice address
7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone
(919) 542-4991
NPI assigned
Jun 14, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 256386 MA Primary

Addresses

Primary practice location

7228 Moncure Pittsboro Rd
Moncure, NC 27559

Mailing address

7228 Moncure Pittsboro Rd
Moncure, NC 27559-9595
Phone (919) 542-4991

Other practice location 1

34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090

Other practice location 2

1340 Boylston St
Boston, MA 02215-4302
Phone (617) 927-0900

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
I20201217000285 NC Practitioner - Family Practice 8123260304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Health Services IncGroup PAC ID 3476462102, 38 clinicians

Practice addresses (Care Compare)

221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone (336) 570-3739

7228 Moncure Pittsboro Rd
Moncure, NC 27559-9595
Phone (919) 542-4991

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Piedmont Health Services, Inc. Current Accepting new patients
Piedmont Health Services, Inc. CurrentSince Dec 14, 2020 Accepting new patients

Locations

7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone (919) 542-1641

Interoperability endpoints

  • Direct secure messaging: william.martin@596425458188292.direct.elationemr.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649619495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 MONCURE PITTSBORO RD",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "275599595",
            "telephone_number": "919-542-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 MONCURE PITTSBORO RD",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "27559",
            "telephone_number": "919-542-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Haverhill St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018412884",
            "country_code": "US",
            "telephone_number": "978-686-0090",
            "fax_number": "978-687-2106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Boylston St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022154302",
            "country_code": "US",
            "telephone_number": "617-927-0900",
            "fax_number": "617-247-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "256386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncure, NC

Sources for this page

Verify at the official NPI Registry.