Active NPI
Paul A Willman, D.O.
- Body Imaging Physician
- Goldsboro, NC
National Provider Identifier
1689636334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- 200100625
- Practice address
- 2700 Medical Office PL
Goldsboro, NC 27534-9460 - Phone
- (919) 734-1866
- Fax
- (919) 736-1804
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 200100625 | NC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 200100625 | NC | |
| Body Imaging Physician | 2085B0100X | 200100625 | NC | Primary |
Addresses
Primary practice location
2700 Medical Office PL
Goldsboro, NC 27534-9460
Mailing address
PO Drawer 1757
Goldsboro, NC 27533
Phone (919) 734-1866
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02898 | Other | NC | WORK COMP |
| 129EK | Other | NC | BCBS |
| 129EK | Other | NC | BCBS NC STATE |
| 89129EK | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paul.willman@direct.wayneradiologists.nchie.net | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Medical Office PL
Goldsboro, NC 27534-9460
Phone (919) 734-1866
Hospital & facility affiliations
- Unc Health Care Wayne
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.24 of 100
- Quality
- 84.99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200100625 | NC | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Radiologists, P.a. | Body Imaging | Current | Accepting new patients |
Locations
2700 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 736-5300
Interoperability endpoints
- paul.willman@direct.wayneradiologists.nchie.net
- pwillman455212@direct.unc.nchie.net
Organizations & group practices 1
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.
-
- Body Imaging Physician
- Goldsboro, NC
- NPI 1093779621
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1689636334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO DRAWER 1757",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "27533",
"telephone_number": "919-734-1866",
"fax_number": "919-736-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349460",
"telephone_number": "919-734-1866",
"fax_number": "919-736-1804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMAN",
"first_name": "PAUL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "200100625",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "200100625",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NC",
"license": "200100625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "02898",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "129EK",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC STATE",
"identifier": "129EK",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89129EK",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "paul.willman@direct.wayneradiologists.nchie.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2700 Medical Office Pl",
"city": "Goldsboro",
"state": "NC",
"country_code": "US",
"postal_code": "275349460",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.