Individual provider Active NPI

William Kendall Couch, CRNA

  • Certified Registered Nurse Anesthetist
  • Concord, NC
National Provider Identifier
1790080224
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
207087 Issued in NC
Practice address
920 Church St N
Concord, NC 28025-2927
Phone
(704) 403-3000
NPI assigned
Jan 13, 2011
Last updated
Dec 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 207087 NC Primary

Addresses

Primary practice location

920 Church St N
Concord, NC 28025-2927

Mailing address

5025 Airport Center Pkwy BLDG L
Charlotte, NC 28208-5885
Phone (704) 512-7105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110303000727 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466634035 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Charlotte Support Services, PLLCGroup PAC ID 1951888551, 20 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

300 Billingsley Rd
Suite 200
Charlotte, NC 28211-1180
Phone (704) 372-7974

300 Billingsley Rd
Suite 200 B
Charlotte, NC 28211-1075
Phone (704) 927-6066

433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (980) 212-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Digestive Health Associates, PA CurrentSince Nov 30, 2013 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Sep 18, 2017 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2017 Accepting new patients
Greater Charlotte Support Services, PLLC Anesthesiology CurrentSince Dec 12, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 1, 2017 Accepting new patients
Carolina Digestive Health Associates, PA PastSince Oct 29, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Charlotte Radiology P a Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

300 Billingsley Rd
Ste 200B
Charlotte, NC 28211
Phone 70437279742165

1085 NE Gateway Ct NE
Ste 180
Concord, NC 28025
Phone (704) 707-2200

1085 NE Gateway Ct NE
Ste 280
Concord, NC 28025
Phone (704) 455-9700

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000

1663 Campus Park Dr
Ste A
Monroe, NC 28112
Phone (704) 261-1220

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

Organizations & group practices 9

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 1

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1790080224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 AIRPORT CENTER PKWY BLDG L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085885",
            "telephone_number": "704-512-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-403-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "WILLIAM",
        "middle_name": "KENDALL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "207087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.