Individual provider Active NPI

William Bellamy Olds, MD

  • Family Medicine Physician
  • Roxboro, NC
National Provider Identifier
1689655292
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26463 Issued in NC
Practice address
757 Carver Dr
Roxboro, NC 27573-4431
Phone
(336) 597-5553
Fax
(336) 597-5034
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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 26463 NC Primary

Addresses

Primary practice location

757 Carver Dr
Roxboro, NC 27573-4431

Mailing address

757 Carver Dr
Roxboro, NC 27573-4431
Phone (336) 597-5553

Other identifiers 2

IdentifierTypeStateIssuer
8964001MedicaidNC
64001OtherNCBCBS

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
I20091217000626 NC Practitioner - Family Practice 6103966437 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, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North State Medical Center PAGroup PAC ID 2769380310, 2 clinicians

Practice addresses (Care Compare)

609 Professional Dr
Roxboro, NC 27573-4543
Phone (336) 599-9257

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Roxboro, NC, CCN 347129
  • Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26463NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North State Medical Center PA CurrentSince May 16, 2019 Accepting new patients

Locations

609 Professional Dr
Roxboro, NC 27573
Phone (336) 599-9257

Interoperability endpoints

  • Direct secure messaging: william.olds@nsmc.eclinicaldirectplus.com

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.

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1689655292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 CARVER DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734431",
            "telephone_number": "336-597-5553",
            "fax_number": "336-597-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 CARVER DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734431",
            "telephone_number": "336-597-5553",
            "fax_number": "336-597-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS",
        "first_name": "WILLIAM",
        "middle_name": "BELLAMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "26463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8964001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.