Individual provider Active NPI

William M Yates, M.D.

  • General Practice Physician
  • Bamberg, SC
National Provider Identifier
1740361906
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8110 Issued in SC
Practice address
526 North St
Bamberg, SC 29003-1319
Phone
(803) 245-2433
NPI assigned
Oct 17, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8110 SC Primary

Addresses

Primary practice location

526 North St
Bamberg, SC 29003-1319

Mailing address

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Other identifiers 3

IdentifierTypeStateIssuer
8110OtherSCMEDICAL LICENSE
SCA978OtherSCMEDICARE
081100MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040205000792 SC Practitioner - General Practice 6002709755 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Medical University of South Carolina College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Country Health Care System IncGroup PAC ID 4284530940, shared by 10 NPIs, 33 clinicians

Practice addresses (Care Compare)

10706 Marlboro Ave
Barnwell, SC 29812-6376
Phone (803) 259-7337

124 Wren St
Barnwell, SC 29812-1527
Phone (803) 259-5762

185 McGee St
Bamberg, SC 29003-1154
Phone (803) 956-6100

333 Revolutionary TRL
Fairfax, SC 29827-7109
Phone (803) 632-2533

526 N St
Bamberg, SC 29003-1319
Phone (803) 245-2433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8110SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc. CurrentSince May 5, 2018 Accepting new patients
Low Country Health Care System, Inc. CurrentSince May 5, 2018 Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 1, 2020 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Jul 1, 2017 Accepting new patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc CurrentSince May 5, 2018 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Jul 1, 2017 Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 1, 2020 Accepting new patients
Low Country Health Care System, Inc CurrentSince Nov 28, 2018 Accepting new patients
Low Country Health Care System, Inc CurrentSince May 5, 2018 Accepting new patients

Locations

185 McGee St
Bamberg, SC 29003
Phone (803) 245-4327

526 North St
Bamberg, SC 29003
Phone (803) 245-2433

10706 Marlboro Ave
Barnwell, SC 29812
Phone (803) 259-7337

124 Wren St
Barnwell, SC 29812
Phone (803) 254-3278

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817
Phone (803) 284-1045

7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1740361906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031319",
            "telephone_number": "803-245-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "8110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "8110",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCA978",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bamberg, SC

Sources for this page

Verify at the official NPI Registry.