Individual provider Active NPI

William Eric Stanley, PA-C

  • Medical Physician Assistant
  • Hodges, SC
National Provider Identifier
1871683268
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1860 Issued in SC
Practice address
3410 Cokesbury Rd
Hodges, SC 29653-9181
Phone
(864) 227-2099
Fax
(864) 227-1779
NPI assigned
Oct 13, 2006
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1860 SC Primary

Addresses

Primary practice location

3410 Cokesbury Rd
Hodges, SC 29653-9181

Mailing address

3410 Cokesbury Rd
Hodges, SC 29653-9181
Phone (864) 227-2099

Other identifiers 1

IdentifierTypeStateIssuer
1824PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MI, OH, NY, IN, PA, IL7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20140219001362 SC Practitioner - Physician Assistant 6406085398 Reassigns benefits to 3 organizations
I20221116002297 MI Practitioner - Physician Assistant 6406085398 Reassigns benefits to 2 organizations
I20230110001355 OH Practitioner - Physician Assistant 6406085398 Reassigns benefits to 1 organization
I20230118002735 NY Practitioner - Physician Assistant 6406085398 Reassigns benefits to 1 organization
I20230417001825 IN Practitioner - Physician Assistant 6406085398 Reassigns benefits to 1 organization
I20230802001626 PA Practitioner - Physician Assistant 6406085398 Reassigns benefits to 1 organization
I20230911003458 IL Practitioner - Physician Assistant 6406085398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Self Regional HealthcareGroup PAC ID 4082527742, shared by 16 NPIs, 159 clinicians
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

105 Vinecrest CT
Greenwood, SC 29646-8031

160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090

225 S Cascade Dr
Springville, NY 14141-9275
Phone (716) 599-1163

233 Saratoga Rd
Glenville, NY 12302-4508
Phone (518) 930-7497

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

4752 Commercial Dr
Suite 1
New Hartford, NY 13413-6205
Phone (315) 275-3046

573 N Greenbush Rd
Rensselaer, NY 12144-9451
Phone (518) 268-2345

655 E Dubois Ave
Du Bois, PA 15801-3605
Phone (814) 913-3097

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

920 E Coliseum Boulevard
Physicians Urgent Care
Fort Wayne, IN 46805-1329
Phone (260) 498-8077

924 W Pike St
Physicians Urgent Care
Goshen, IN 46526-2365
Phone (574) 312-7056

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1860SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare CurrentSince Dec 1, 2025 Accepting new patients
Self Regional Healthcare CurrentSince Dec 1, 2025 Accepting new patients
Carolina Health Centers, Inc. Current Accepting new patients
Carolina Health Centers, Inc. Current Accepting new patients
Self Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Carolina Health Centers, Inc. CurrentSince Apr 18, 2016 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Mar 1, 2023 Accepting new patients
Carolina Health Centers, Inc. Current Accepting new patients
Carolina Health Centers, Inc. CurrentSince Apr 18, 2016 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Dec 12, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Self Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

75 Remittance Dr
Dept 6793
Chicago, IL 60675

9501 S Western Ave
Chicago, IL 60643
Phone (773) 344-9465

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

1 White Springs Rd
Ste D
Geneva, NY 14456
Phone (315) 230-4074

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690

535 Jackson St
Calhoun Falls, SC 29628
Phone (864) 418-8578

105 Vinecrest Ct
#600
Greenwood, SC 29646
Phone (864) 227-2900

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

313 Main St
#A
Greenwood, SC 29646
Phone (864) 229-4446

313 Main St
#B
Greenwood, SC 29646

3410 Cokesbury Rd
Hodges, SC 29653
Phone (843) 543-3515

1319 S Main St
Mc Cormick, SC 29835
Phone (864) 852-3336

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

219 Greenwood Hwy
Saluda, SC 29138
Phone (864) 445-2181

93 S Greenwood Ave
Ware Shoals, SC 29692
Phone (864) 456-7436

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1871683268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 COKESBURY RD",
            "city": "HODGES",
            "state": "SC",
            "postal_code": "296539181",
            "telephone_number": "864-227-2099",
            "fax_number": "864-227-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 COKESBURY RD",
            "city": "HODGES",
            "state": "SC",
            "postal_code": "296539181",
            "telephone_number": "864-227-2099",
            "fax_number": "864-227-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "WILLIAM",
        "middle_name": "ERIC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1824PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hodges, SC

Sources for this page

Verify at the official NPI Registry.