Raymond L. Stovall, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

025291 Issued in GA

Legal business name

RAYMOND L. STOVALL, M.D., P.C.

Practice address

600 Professional Dr
Suite 150
Lawrenceville, GA 30045-7651

Phone

(678) 376-1800

Fax

(678) 376-5500

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raymond L Stovall, M.D.

Title

Owner

Phone

(678) 376-1800

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen James Parker Thomas, MD

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1679528129
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1003826041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR",
            "address_2": "SUITE 150",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457651",
            "telephone_number": "678-376-1800",
            "fax_number": "678-376-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR",
            "address_2": "SUITE 150",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457651",
            "telephone_number": "678-376-1800",
            "fax_number": "678-376-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND L. STOVALL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-376-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "025291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00282675B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "10659984294",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4031478",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "52450038",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "182686",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD",
            "identifier": "254743708",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelle Chandler Ray, PH.D.
• Kruti Ray
• Mary Jo Ray
• Ramona Ray, M.A., MHP
• Raymond C. Lyew D.D.S., P.C.
• Daneyal Raza
• Laura Razavi
• Ellen Razielli Frissell, M.ED.CCC-SLP
• Rcog Cancer Centers LLC - Gwinnett
• Reach Dental PC

• Internal Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.