Active NPI
William James Stackhouse, M.D.
- Internal Medicine Physician
- Goldsboro, NC
National Provider Identifier
1801899133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24298
- Practice address
- 1560 Clingman St
Goldsboro, NC 27534-2162 - Phone
- (919) 731-1000
- NPI assigned
- May 31, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24298 | NC | Primary |
Addresses
Primary practice location
1560 Clingman St
Goldsboro, NC 27534-2162
Mailing address
1560 Clingman St
Goldsboro, NC 27534-2162
Phone (919) 734-9455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8979127 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100826000441 | NC | Practitioner - Internal Medicine | 2961526041 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24298 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1801899133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 CLINGMAN ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275342162",
"telephone_number": "919-734-9455",
"fax_number": "919-734-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 CLINGMAN ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275342162",
"telephone_number": "919-731-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACKHOUSE",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "24298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8979127",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
- Ramaswamy Vellore Sriraman, M.D.
- SSC Goldsboro Operating Company LLC
- Samantha Michelle St John, FNP-C
- St. Vincent Home Care Services Inc.
- Blake Alexander Stacey, MD
- Scott Douglas Stahle, M.D.
- Christine Eddins Stallings, FNP
- Stephanie Demetrius Stallings, LCSWA
- Victoria Stancil, PTA
- Tara M Staton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.