NPIMap

Individual provider Active NPI

William Alexander Newsom, MD

  • Internal Medicine Physician
  • Southport, NC
National Provider Identifier
1962644120
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
157128 Issued in NC
Practice address
905 N Howe St
Southport, NC 28461
Phone
(910) 457-5657
Fax
(910) 457-0909
NPI assigned
Apr 1, 2009
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 157128 NC Primary
Internal Medicine Physician 207R00000X 34353 SC

Addresses

Primary practice location

905 N Howe St
Southport, NC 28461

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3806

Other practice location 1

710 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-2171

Other practice location 2

710 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-2171

Other identifiers 1

IdentifierTypeStateIssuer
1962644120OtherSCNPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120713000497 SC Practitioner - Internal Medicine 9335304518 Reassigns benefits to 1 organization
I20180507000181 NC Practitioner - Internal Medicine 9335304518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

905 N Howe St
Southport, NC 28461-3037
Phone (910) 457-3827

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157128NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Feb 2, 2016 Accepting new patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients
McLeod Health Cheraw CurrentSince Feb 2, 2016 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jul 9, 2018 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jul 9, 2018 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Cheraw Family Medicine Past Accepting new patients

Locations

821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

905 N Howe St
Southport, NC 28461
Phone (910) 457-3827

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

Interoperability endpoints

  • Direct secure messaging: william.newsom@dosher.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1962644120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3806",
            "fax_number": "910-457-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "28461",
            "telephone_number": "910-457-5657",
            "fax_number": "910-457-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Chesterfield Hwy",
            "address_purpose": "LOCATION",
            "city": "Cheraw",
            "state": "SC",
            "postal_code": "29520",
            "country_code": "US",
            "telephone_number": "843-537-2171",
            "fax_number": "843-537-5926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Chesterfield Hwy",
            "address_purpose": "LOCATION",
            "city": "Cheraw",
            "state": "SC",
            "postal_code": "29520",
            "country_code": "US",
            "telephone_number": "843-537-2171",
            "fax_number": "843-537-5926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "157128",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "34353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1962644120",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.