Individual provider Active NPI

Steven Andrew Stallard

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1023540002
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020-03044 Issued in NC
Practice address
8401 Medical Plaza Dr Ste 250
Charlotte, NC 28262-8700
Phone
(704) 384-1500
Fax
(704) 384-1525
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R8995 TX
Internal Medicine Physician 207R00000X 2020-03044 NC Primary

Addresses

Primary practice location

8401 Medical Plaza Dr Ste 250
Charlotte, NC 28262-8700

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

3551 Roger Brooke Dr
SAMMC, MCHE-ZDM-M, Internal Medicine residency
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 916-5910

Other names 1

  • Drew Stallard Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000474 NC Practitioner - Internal MedicinePractitioner - Hospitalist 0042556961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

8401 Medical Plaza Dr
Suite 250
Charlotte, NC 28262-8700
Phone (704) 384-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Internal Medicine Current Accepting new patients
FHPG, LLC CurrentSince Feb 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince May 14, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 14, 2024 Accepting new patients
FHPG, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

8401 Medical Plaza Dr
Ste 250
Charlotte, NC 28262
Phone (704) 384-1500

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: sstallard1475650@direct.novanthealth.org
  • Direct secure messaging: sstallard103310@firsthealth.direct-ci.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1023540002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR STE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628700",
            "telephone_number": "704-384-1500",
            "fax_number": "704-384-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_2": "SAMMC, MCHE-ZDM-M, Internal Medicine residency",
            "address_purpose": "LOCATION",
            "city": "Jbsa Ft Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-5910",
            "fax_number": "210-916-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLARD",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "R8995",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-03044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DREW",
            "last_name": "STALLARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.