Individual provider Active NPI

David Edward Stanley, PA-C

  • Physician Assistant
  • Longview, TX
National Provider Identifier
1043329212
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 02019 Issued in TX
Practice address
802 Medical Cir Ste 300
Longview, TX 75605-5204
Phone
(903) 758-2746
Fax
(903) 553-7755
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 02019 TX Primary

Addresses

Primary practice location

802 Medical Cir Ste 300
Longview, TX 75605-5204

Mailing address

323 E Hawkins Pkwy
Suite a
Longview, TX 75605-7905
Phone (903) 758-2746

Other practice location 1

323 E Hawkins Pkwy
Suite a
Longview, TX 75605-7905
Phone (903) 758-2746

Other identifiers 1

IdentifierTypeStateIssuer
220657501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000862 TX Practitioner - Physician Assistant 4688768732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Clinics of LongviewGroup PAC ID 7214016559, 38 clinicians

Practice addresses (Care Compare)

1009 N 4TH St
Suite a
Longview, TX 75601-4768
Phone (903) 757-3808

802 Medical Cir
Suite 300
Longview, TX 75605-5204
Phone (903) 232-1622

Hospital & facility affiliations

  • Elite Home Health Home health agency, Longview, TX, CCN 453182
  • Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 02019TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Clinics of Longview CurrentSince Feb 27, 2024 Accepting new patients
Diagnostic Clinic of Longview PA Past Accepting new patients
GS Physician Services Past Accepting new patients

Locations

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

802 Medical Cir
Ste 300
Longview, TX 75605
Phone (903) 315-2730

Interoperability endpoints

  • Direct secure messaging: david.stanley.1@16432.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1043329212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY",
            "address_2": "SUITE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057905",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEDICAL CIR STE 300",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055204",
            "telephone_number": "903-758-2746",
            "fax_number": "903-553-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 E Hawkins Pkwy",
            "address_2": "SUITE A",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756057905",
            "country_code": "US",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 02019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220657501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.