STANLY MEDICAL SERVICES (NPI# 1174812507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174812507 |
| Entity Type | Organization |
| Organization Name | STANLY MEDICAL SERVICES |
| Other Organization Name | STANLY GASTROENTEROLOGY AND DIGESTIVE HEALTH CENTER |
| Practice Address |
923 N 2nd St Suite 204 Albemarle NC 28001-3317 |
| Mailing Address |
320 Yadkin St Suite B Albemarle NC 28001-3447 |
| Practice Telephone | 7049866662 |
| Practice Fax Number | 7049866663 |
| Mailing Telephone | 7049837320 |
| Mailing Fax Number | 7049836153 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | MARINDY BOST HARRIS (MANAGER REVENUE CYCLE) |
| Authorized Official Telephone | 7049837320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 024P4 | 01 |
| NC | 5917199 | 05 |
| Other Name | Type Code |
|---|---|
| Stanly Gastroenterology and Digestive Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194006320 | Stanly Medical Services | Nurse Practitioner | 48380 Us Hwy 52 North, Misenheimer, NC 28109-9800 | 2011-09-01 |
| 1033191218 | Stanly Medical Services | Internal Medicine | 929 N 2nd St, Suite 205, Albemarle, NC 28001-3363 | 2005-11-15 |
| 1902887045 | Stanly Medical Services | Family Medicine | 269 S Main St, Norwood, NC 28128-6435 | 2005-11-07 |
| 1821079963 | Stanly Medical Services | Pediatrics | 103 Stanly Pkwy, Ste A, Locust, NC 28097-7704 | 2005-11-07 |
| 1073594115 | Stanly Medical Services | Family Medicine | 243 Highway 49 N, Richfield, NC 28137-5731 | 2005-11-07 |
| 1750362802 | Stanly Medical Services | Pediatrics | 835 Albemarle Rd, Troy, NC 27371-8682 | 2005-11-07 |
| 1215274758 | Stanly Medical Services | Family Medicine | 103 Stanly Pkwy, Suite C, Locust, NC 28097-7710 | 2013-01-03 |
| 1821325010 | Stanly Medical Services | Family Medicine | 320 Yadkin St, Suite B, Albemarle, NC 28001-3447 | 2009-11-09 |
| 1588898480 | Stanly Medical Services | Internal Medicine | 929 N 2nd St, Suite 201, Albemarle, NC 28001-3363 | 2009-05-06 |
| 1285803304 | Stanly Medical Services | Surgery | 105 Yadkin St, Suite 203, Albemarle, NC 28001-3449 | 2008-02-22 |
| Street Address |
923 N 2ND ST SUITE 204 |
| City | ALBEMARLE |
| State | NC |
| Zip Code | 28001-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260250 | John Godino | Internal Medicine | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2005-07-22 |
| 1679010813 | Tiffany Lowder | Physician Assistant | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2017-01-26 |
| 1396295911 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2016-10-06 |
| 1194274100 | Justin Canter | Nurse Practitioner | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2016-10-03 |
| 1902200769 | Carolinas Physicians Network, Inc. | Internal Medicine | 923 N 2nd St, Suite 205, Albemarle, NC 28001-3317 | 2014-10-22 |
| 1124422704 | Carolinas Physicians Network Inc | Internal Medicine | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2014-10-10 |
| 1942617048 | Valerie Vang | Nurse Practitioner | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2014-07-21 |
| 1710314133 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 923 N 2nd St, Ste 105, Albemarle, NC 28001-3317 | 2013-09-30 |
| 1568781391 | Angela Ferguson | Counselor | 923 N 2nd St, Ste 105, Albemarle, NC 28001-3317 | 2010-05-18 |
| 1487896247 | Patti Joyner Shoe | Nurse Practitioner | 923 N 2nd St, Suite 205, Albemarle, NC 28001-3317 | 2009-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
| 1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
| 1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
| 1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
| 1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
| 1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
| Find all providers in zip 28001 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982676318 | Advanced Gastroenterology Associates PC | Internal Medicine | 929 North Second Street, Suite 105, Albemarle, NC 28001 | 2006-02-01 |
| 1548260250 | John Godino | Internal Medicine | 923 N 2nd St, Ste 204, Albemarle, NC 28001-3317 | 2005-07-22 |
| 1144491770 | Stanly Medical Services, Inc. | Internal Medicine | 320 Yadkin St, Suite B, Albemarle, NC 28001-3447 | 2008-03-24 |
| 1659343523 | Ravi Kanth Reddy | Internal Medicine | 929 N 2nd St, Suite 105, Albemarle, NC 28001-3363 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1669971826 | Appalachian Regional Medical Associates Inc | Internal Medicine | 870 State Farm Rd Ste 2, Boone, NC 28607-4861 | 2018-02-02 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1326454174 | Daniel Dillon | Internal Medicine | 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 | 2014-07-01 |
| 1841610300 | Shelly Gurwara | Internal Medicine | Medical Ctr Blvd, Winston Salem, NC 27157-2358 | 2014-04-23 |
| 1518386457 | Silpa Yalamanchili | Internal Medicine | 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 | 2014-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.