Individual provider Active NPI

William A King, MD

  • Family Medicine Physician
  • Seneca, SC
National Provider Identifier
1659352003
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10288 Issued in SC
Practice address
212 Horsehead Point
Seneca, SC 29672-8010
Phone
(864) 654-6150
Fax
(864) 654-7672
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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 10288 SC Primary

Addresses

Primary practice location

212 Horsehead Point
Seneca, SC 29672-8010

Mailing address

212 Horsehead Point
Seneca, SC 29672-8010
Phone (864) 654-6150

Other identifiers 4

IdentifierTypeStateIssuer
0103516OtherCAROLINA CARE PLAN
080083282OtherRAILROAD MEDICARE
65908OtherMEDCOST
GP4621MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20070314000407 SC Practitioner - Geriatric MedicinePractitioner - Family Practice 7810090727 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10288SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence House Calls LLC Family Medicine CurrentSince Feb 22, 2016 Accepting new patients
Network Geriatric Services, PA PastSince Apr 1, 2006 Accepting new patients
Palmetto Spine & Pain Care Consultants, LLC Past Accepting new patients

Locations

634 Fairview Rd
Simpsonville, SC 29680
Phone (843) 851-3126

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1659352003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HORSEHEAD POINT",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296728010",
            "telephone_number": "864-654-6150",
            "fax_number": "864-654-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HORSEHEAD POINT",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296728010",
            "telephone_number": "864-654-6150",
            "fax_number": "864-654-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLINA CARE PLAN",
            "identifier": "0103516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080083282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "65908",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4621",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.