William Charles Vanness III, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

200001012 Issued in NC

Practice address

116 Morlake Dr
Suite 204
Mooresville, NC 28117

Phone

(704) 663-3777

Fax

(704) 664-6615

NPI assigned

Dec 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC, OH, IA, CO, IL, SD, MT, TN, GA10 enrollments

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 10

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.vanness.1@13131.direct.athenahealth.com
• Direct secure messaging: wvanness@direct.uspi.com

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.

• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506
  Medicare reassignment NPD
• Mpower Clinical TX

  • Clinical Neurophysiology Physician
  • San Antonio, TX
  • NPI 1134737216

  NC

  Medicare reassignment NPD
• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Neuromonitoring Services of America, Inc

  • Neurology Physician
  • Colorado Springs, CO
  • NPI 1134307531

  GA, IA, IL, MT, NC, OH, SC, SD, TN

  Medicare reassignment
• Mercy Medical Center-Dubuque

  • Psychiatric Hospital Unit
  • Dubuque, IA
  • NPI 1851326920
  NPD
• The Metrohealth System

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD
• Omnihealth Medical Group, P.a.

  • Specialist
  • Concord, NC
  • NPI 1265592125
  NPD (past)
• Trinity Health Care PA

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1134184583
  NPD (past)
• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1720038946
  NPD (past)
• Monitoring Associates

  • Physiological Laboratory
  • Salt Lake City, UT
  • NPI 1407187701
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1679558753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MORLAKE DR",
            "address_2": "SUITE 204",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179232",
            "telephone_number": "704-663-3777",
            "fax_number": "704-664-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MORLAKE DR",
            "address_2": "SUITE 204",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-663-3777",
            "fax_number": "704-664-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNESS",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "200001012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126TU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carel Leroux Van Dyk, RPH
• Marisan Van Dyk, OTR L
• Jessica Marie Van Kooten, D.O.
• Gwen Mary Van Ryen-Sink, PT/ATC
• Kevin Bruce Vanhoy, PA
• Stacy Elizabeth Vanwassenhove, OTR L
• Vapourmd, P.a.
• Ava Jessella Sabine Vaughan, LPC
• Brittany Vaughan
• Paul D. Veach, LMFT, LCAS

• Physical Medicine & Rehabilitation Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.

Verify at the official NPI Registry.