NPIMap

Individual provider Active NPI

Samuel R Stone, MD

  • Family Medicine Physician
  • Chester, SC
National Provider Identifier
1063426955
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10424 Issued in SC
Practice address
517 Doctors CT
Chester, SC 29706-8644
Phone
(803) 581-2800
Fax
(803) 581-4396
NPI assigned
Jul 28, 2006
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10424 SC Primary

Addresses

Primary practice location

517 Doctors CT
Chester, SC 29706-8644

Mailing address

PO Box 603898
Charlotte, NC 28260-3898
Phone (803) 581-2500

Other identifiers 1

IdentifierTypeStateIssuer
104247MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sstone254448@direct.musc.edu Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000893 SC Practitioner - Family Practice 8325034382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

517 Doctors CT
Chester, SC 29706-8644
Phone (803) 581-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
83.18
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104247SCMDRegistered Nurse
10424SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
Carolina Family Care, Inc Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
Medical University Hospital Authority Current Accepting new patients
Carolina Family Care, Inc Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
Medical University Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Family Medicine Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Carolina Family Care, Inc Past Accepting new patients
South Carolina Heart Center Past Accepting new patients

Locations

1 Medical Park Dr
#4A
Chester, SC 29706
Phone (803) 581-2001

517 Doctors Ct
Chester, SC 29706
Phone (803) 581-2800

517 Doctors Ct
Lowr
Chester, SC 29706
Phone (803) 581-2800

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

Interoperability endpoints

  • Direct secure messaging: sstone254448@direct.musc.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1063426955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603898",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603898",
            "telephone_number": "803-581-2500",
            "fax_number": "803-581-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 DOCTORS CT",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297068644",
            "telephone_number": "803-581-2800",
            "fax_number": "803-581-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "SAMUEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104247",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstone254448@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "517 Doctors Ct",
            "city": "Chester",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297068644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

Verify at the official NPI Registry.