Active NPI
William McDermott, MD
- Internal Medicine Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL33918
- Practice address
- 169 Ashley Ave
Room 202 Main Hospital, MSC 333
Charleston, SC 29425-8905 - Phone
- (843) 792-2731
- NPI assigned
- Jun 28, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 53685 | TN | |
| Internal Medicine Physician | 207R00000X | LL33918 | SC | Primary |
Addresses
Primary practice location
169 Ashley Ave
Room 202 Main Hospital, MSC 333
Charleston, SC 29425-8905
Mailing address
169 Ashley Ave
Room 202 Main Hospital, MSC 333
Charleston, SC 29425-8905
Phone (843) 792-2731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of Ny Upstate Medical University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000
Hospital & facility affiliations
- Amedisys Home Health of Charleston East
- Roper Hospital
- Grand Strand Regional Medical Center
- Bon Secours-St Francis Xavier Hospital
- Mount Pleasant Hospital
- Colleton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL33918 | SC | MD | Internal Medicine Physician |
| 53685 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Group Services, LLC | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Southeastern Hospitalist Services PC | Internal Medicine | Current | Accepting new patients |
| Impact Physician Group, South Carolina LLC | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians of SC, LLC | Current | Accepting new patients | |
| Grand Strand Regional Medical Center LLC | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
20 Pinnacle Pkwy
Elgin, SC 29045
Phone (260) 407-8007
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
4220 Harding Pike
Ste 500
Nashville, TN 37205
Phone (615) 222-2111
300 20th Ave N
Fl 9
Nashville, TN 37203
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Charleston, SC
- NPI 1144877655
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Internal Medicine
-
- Internal Medicine Physician
- Elgin, SC
- NPI 1215521752
-
- Hospitalist Physician
- Mount Pleasant, SC
- NPI 1609212232
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Charleston, SC
- NPI 1447218748
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1831485838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE",
"address_2": "ROOM 202 MAIN HOSPITAL, MSC 333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "843-792-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE",
"address_2": "ROOM 202 MAIN HOSPITAL, MSC 333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "843-792-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "53685",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL33918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.
- 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.