Individual provider Active NPI

William Charles Moomaw, MD

  • Family Medicine Physician
  • Black Mountain, NC
National Provider Identifier
1710919642
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9900105 Issued in NC
Practice address
932 Old US 70 W
Black Mountain, NC 28711-2547
Phone
(828) 259-6700
NPI assigned
Jul 7, 2006
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9900105 NC Primary
Family Medicine Physician 207Q00000X 9900105 OH

Addresses

Primary practice location

932 Old US 70 W
Black Mountain, NC 28711-2547

Mailing address

932 Old US 70 W
Black Mountain, NC 28711-2547
Phone (828) 259-6700

Other practice location 1

402 S Sterling St
Carolina Anesthesiology and Pain Management
Morganton, NC 28655-3571
Phone (828) 433-8373

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
I20250912003441 NC Order and Referring Only - Family PracticePractitioner - Family Practice 9537256979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9900105OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McDowell Community Health Services Family Medicine Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
McDowell Community Health Services Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1710919642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 OLD US 70 W",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112547",
            "telephone_number": "828-259-6700",
            "fax_number": "828-669-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 OLD US 70 W",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112547",
            "telephone_number": "828-259-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 S Sterling St",
            "address_2": "Carolina Anesthesiology and Pain Management",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553571",
            "country_code": "US",
            "telephone_number": "828-433-8373",
            "fax_number": "828-433-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOMAW",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900105",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "9900105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.