Organization Active NPI

Stalls Medical, Inc.

  • Customized Equipment (DME)
  • Greensboro, NC
National Provider Identifier
1033319264
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
00324 Issued in NC
Legal business name
STALLS MEDICAL, INC.
Practice address
8766 W Market St Ste 110
Greensboro, NC 27409-9893
Phone
(336) 294-1505
Fax
(336) 294-1551
NPI assigned
Jul 25, 2007
Organization subpart
Yes
Parent organization
STALLS MEDICAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Mr. Jerry C Stalls
Title
Ceo/President
Phone
(919) 233-0732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 00324 NC Primary

Addresses

Primary practice location

8766 W Market St Ste 110
Greensboro, NC 27409-9893

Mailing address

8766 W Market St Ste 110
Greensboro, NC 27409-9893
Phone (336) 294-1505

Other identifiers 1

IdentifierTypeStateIssuer
7700468MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930067485 NC DME Supplier - Medical Supply Company 3375669989 Practice locations: Greensboro, NC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Stalls Medical, Inc8766 W Market St, Greensboro, NC 27409-9893(336) 294-1505 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Patient Lifts|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelch… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Stalls Medical Inc4 organizations share this tax ID, including this one
Part of
Stalls Medical Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6342 Burnt Poplar Rd
Ste A
Greensboro, NC 27409

8766 W Market St
Ste 110
Greensboro, NC 27409
Phone (336) 294-1505

3 Wendy Ct
Ste C
Greensboro, NC 27409
Phone (336) 294-1505

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1033319264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8766 W MARKET ST STE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099893",
            "telephone_number": "336-294-1505",
            "fax_number": "336-294-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8766 W MARKET ST STE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099893",
            "telephone_number": "336-294-1505",
            "fax_number": "336-294-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLS MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STALLS MEDICAL, INC.",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "STALLS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "919-233-0732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "00324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700468",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.