Active NPI
Marcus Allen Stripling
- Pediatrics Physician
- Albany, GA
National Provider Identifier
1023647500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 97116
- Practice address
- 417 W 3Rd Ave
Albany, GA 31701-1943 - Phone
- (229) 312-1000
- NPI assigned
- Apr 6, 2020
- Last updated
- Oct 4, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 97116 | GA | Primary |
Addresses
Primary practice location
417 W 3Rd Ave
Albany, GA 31701-1943
Mailing address
842 Radick Dr
Savannah, GA 31406-3227
Phone (912) 344-8386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250112000016 | GA | Order and Referring Only - Hospitalist | 7517495096 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Putney Memorial Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1023647500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 RADICK DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063227",
"telephone_number": "912-344-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W 3RD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011943",
"telephone_number": "229-312-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRIPLING",
"first_name": "MARCUS",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "97116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.