COURTNEY GIBBS STANLEY (NPI# 1205095809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205095809 |
| Entity Type | Individual |
| Full Name | COURTNEY GIBBS STANLEY |
| Credential | PA |
| Practice Address |
325 Mercy St Lake City SC 29560-2331 |
| Mailing Address |
Po Box 1479 Lake City SC 29560-1479 |
| Practice Telephone | 8433746256 |
| Mailing Telephone | 8433746256 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1297 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | STATE LICENSE # | 1297 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972648 | Courtney Stanley | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-21 |
| 1710127873 | Courtney M Stanley | Occupational Therapist | 10516 Park Rd, Charlotte, NC 28210-8405 | 2009-03-03 |
| 1003858986 | Courtney Renee Stanley | Physician Assistant | 601 S 8th St, Griffin, GA 30224-4213 | 2006-06-12 |
| Street Address |
325 MERCY ST |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720046311 | Marion Steven Fowler Jr. | Family Medicine | 325 Mercy St, Lake City, SC 29560-2331 | 2006-05-03 |
| 1588760201 | Lisa M Castles | Physician Assistant | 325 Mercy St, Lake City, SC 29560-2331 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780143511 | Tara Eaddy Barrineau | Physician Assistant | 1998 Saint James Rd, Lake City, SC 29560-8626 | 2019-03-19 |
| 1235613423 | Susana Romero Martinez | Physician Assistant | 5085 W Us Highway 90, Lake City, FL 32055-8191 | 2018-09-24 |
| 1326370420 | Jerry Albert Johnstone | Physician Assistant | 1201 Enterprise Ave, Apt 610, Lake City, TX 77573 | 2010-02-01 |
| 1225241649 | John Geary Windham | Physician Assistant | 373 Se Country Club Rd, Lake City, FL 32025-4987 | 2007-05-08 |
| 1801011663 | Alfred Otero | Physician Assistant | 1465 W Us Highway 90 Ste 100, Lake City, FL 32055-6154 | 2007-04-16 |
| 1679684823 | William David Sanders | Physician Assistant | 213 Sw Main Blvd, Lake City, FL 32025 | 2006-08-31 |
| 1982691218 | Anthony R Lambert | Physician Assistant | 1289 Sw State Road 47, Lake City, FL 32025-0484 | 2005-10-03 |
| 1891795175 | John P Odonnell | Physician Assistant | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2005-07-28 |
| 1831745710 | Caitlin Altman Jordan | Physician Assistant | 258 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2019-08-15 |
| 1316505910 | Elizabeth Jean Halbur | Physician Assistant | 1351 W Main St, Lake City, IA 51449-1585 | 2019-05-30 |
| Find all providers in LAKE CITY | ||||
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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.