NPIMap

Individual provider Active NPI

William I Petty II, M.D.

  • Internal Medicine Physician
  • Hilton Head Island, SC
National Provider Identifier
1871687665
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19763 Issued in SC
Practice address
3901 Main St Ste a
Hilton Head Island, SC 29926-4613
Phone
(843) 689-2150
Fax
(843) 689-2151
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19763 SC Primary

Addresses

Primary practice location

3901 Main St Ste a
Hilton Head Island, SC 29926-4613

Mailing address

PO Box 24036
Hilton Head, SC 29925-4036
Phone (843) 689-2150

Other identifiers 1

IdentifierTypeStateIssuer
197637MedicaidSC

Other names 1

  • Dr. William Petty Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000601 SC Practitioner - Internal Medicine 2062670318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

3901 Main St
Suite a
Hilton Head Island, SC 29926-4613
Phone (843) 689-2150

3901 Main St a
Hilton Head Island, SC 29926-4613

876 Fording Island Rd
Suite 2
Bluffton, SC 29910-8677
Phone (843) 507-8473

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Partners Internal Medicine Past Accepting new patients
Imaging Partners PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.petty.1@14725.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1871687665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24036",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299254036",
            "telephone_number": "843-689-2150",
            "fax_number": "843-689-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MAIN ST STE A",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264613",
            "telephone_number": "843-689-2150",
            "fax_number": "843-689-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "WILLIAM",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "19763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197637",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "PETTY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.