Active NPI
William Dyson McDearmon, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Pinehurst, NC
National Provider Identifier
1952365421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 39027
- Practice address
- 155 Memorial Dr
Pinehurst, NC 28374-8710 - Phone
- (910) 715-1156
- Fax
- (910) 715-1944
- NPI assigned
- Apr 13, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 39027 | NC | Primary |
Addresses
Primary practice location
155 Memorial Dr
Pinehurst, NC 28374-8710
Mailing address
PO Box 100559
Florence, SC 29501-0559
Phone (843) 566-4430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56786 | Other | NC | BCBS |
| 8956786 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1952365421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100559",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295010559",
"telephone_number": "843-566-4430",
"fax_number": "843-664-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748710",
"telephone_number": "910-715-1156",
"fax_number": "910-715-1944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDEARMON",
"first_name": "WILLIAM",
"middle_name": "DYSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "39027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56786",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8956786",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.