Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. William D Heisel Jr., PA-C

Individual provider Physician Assistant · NPI 1164405718

Mr. William D Heisel Jr., PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 1991, 35 years ago. Practices with Orthocarolina, PA, a 301-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
35
Licensed in
NC
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1915 Randolph Rd
Charlotte, NC 28207-1101
Phone: (704) 323-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101422 (NC)

Record details

NPI number1164405718
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2005
Last updated in NPPESMay 12, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Orthocarolina, Pa — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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