Individual provider Active NPI

William Jeffrey Weily, DPM

  • Podiatrist
  • Charlotte, NC
National Provider Identifier
1912197146
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
752 Issued in NC
Practice address
10370 Park Rd Ste 100
Charlotte, NC 28210-8509
Phone
(704) 542-8253
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 752 NC Primary
Podiatrist 213E00000X 10477 WV

Addresses

Primary practice location

10370 Park Rd Ste 100
Charlotte, NC 28210-8509

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159
Phone (301) 933-7133

Other practice location 1

251 Wilmot Dr
Gastonia, NC 28054-4048
Phone (704) 861-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200924001789 WV Practitioner - Podiatry 6709942378 Reassigns benefits to 1 organization
I20241217001599 NC Practitioner - Podiatry 6709942378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10370 Park Rd
Suite 100
Charlotte, NC 28210-8509
Phone (704) 542-8253

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions57
Removal of nail tissue903
Removal or shaving of skin growth306
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jan 2, 2025 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jan 2, 2025 Accepting new patients
Foot and Ankle Clinic of the Virginias Inc Podiatrist CurrentSince Sep 1, 2020 Accepting new patients
Foot and Ankle Clinic of the Virginias Inc Podiatrist CurrentSince Sep 1, 2020 Accepting new patients
Erie Physicians Network, PC Past Accepting new patients
Erie Physicians Network PC Past Accepting new patients

Locations

10370 Park Rd
Charlotte, NC 28210
Phone (704) 542-8253

10370 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 542-8253

251 Wilmot Dr
Gastonia, NC 28054
Phone (704) 861-0425

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

401 Rogers St
Princeton, WV 24740

Interoperability endpoints

  • Direct secure messaging: williamweily@footclinic.allscriptsdirect.net

Organizations & group practices 6

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 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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1912197146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159",
            "telephone_number": "301-933-7133",
            "fax_number": "704-541-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10370 PARK RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108509",
            "telephone_number": "704-542-8253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Wilmot Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280544048",
            "country_code": "US",
            "telephone_number": "704-861-0425",
            "fax_number": "704-861-0274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEILY",
        "first_name": "WILLIAM",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "752",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "10477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.