Individual provider Active NPI

John Robert Stripling III, M.D.

  • General Practice Physician
  • West Palm Beach, FL
National Provider Identifier
1043248537
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
29800 Issued in GA
Practice address
7606 Pine Tree LN
West Palm Beach, FL 33406-7832
Phone
(404) 433-6960
Fax
(561) 538-8420
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME102983 FL
General Practice Physician 208D00000X 29800 GA Primary

Addresses

Primary practice location

7606 Pine Tree LN
West Palm Beach, FL 33406-7832

Mailing address

7606 Pine Tree LN
West Palm Beach, FL 33406-7832
Phone (404) 433-6960

Other identifiers 1

IdentifierTypeStateIssuer
00398428AMedicaidGA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000838 GA Practitioner - Urology 0446145452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29800GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC Urology PastSince Aug 23, 2020 Accepting new patients
Tenet Florida Physician Services, LLC Past Accepting new patients
South Central Clinics, Inc Urology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1043248537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 PINE TREE LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067832",
            "telephone_number": "404-433-6960",
            "fax_number": "561-538-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 PINE TREE LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067832",
            "telephone_number": "404-433-6960",
            "fax_number": "561-538-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIPLING",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME102983",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "29800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00398428A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.