Active NPI
William W Vick, M.D.
- Specialist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 38725
- Practice address
- 559 Executive PL
Suite 202
Fayetteville, NC 28305-5154 - Phone
- (910) 485-8711
- Fax
- (910) 485-7953
- NPI assigned
- Jul 26, 2005
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 38725 | NC | Primary |
Addresses
Primary practice location
559 Executive PL
Suite 202
Fayetteville, NC 28305-5154
Mailing address
559 Executive PL
Suite 202
Fayetteville, NC 28305-5154
Phone (910) 485-8711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8985066 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayetteville Associates in Laboratory Medicine | Current | Accepting new patients |
Locations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
559 Executive Pl
Ste 202
Fayetteville, NC 28305
Phone (910) 485-8711
9834 Business Way
Manassas, VA 20110
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Fayetteville, NC
- NPI 1295793594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689674293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 EXECUTIVE PL",
"address_2": "SUITE 202",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055154",
"telephone_number": "910-485-8711",
"fax_number": "910-485-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 EXECUTIVE PL",
"address_2": "SUITE 202",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055154",
"telephone_number": "910-485-8711",
"fax_number": "910-485-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICK",
"first_name": "WILLIAM",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "38725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8985066",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.