Stephanie Beth Engelhard, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD70108 Issued in TN

Practice address

328 Coatsland Dr
Jackson, TN 38301-3908

Phone

(731) 427-7799

Fax

(731) 427-1476

NPI assigned

May 25, 2018

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TN, MS3 enrollments

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 3

Specialty

Ophthalmology

Education

University of Virginia School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid South Retina Associates, LLCGroup PAC ID 8921080094, shared by 3 NPIs, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sengelhard@msra.intellechartdirect.net

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.

• Mid South Retina Associates, LLC

  • Ophthalmology Physician
  • Jackson, TN
  • NPI 1447286802
  Medicare reassignment NPD
• Mid South Retina Associates LLC

  • Ophthalmology Physician
  • Corinth, MS
  • NPI 1598700254
  Medicare reassignment NPD
• Usc Care Medical Group, Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1902846306

  Internal Medicine

  Medicare reassignment NPD
• Mid-South Retina Associates, LLC

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1215963350
  NPD
• Usc Care Medical Group, Inc

  dba Fair Oaks Clinic

  • Durable Medical Equipment & Medical Supplies
  • Pasadena, CA
  • NPI 1427937390
  NPD

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

• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1063903003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 COATSLAND DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013908",
            "telephone_number": "731-427-7799",
            "fax_number": "731-427-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 COATSLAND DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013908",
            "telephone_number": "731-427-7799",
            "fax_number": "731-427-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHARD",
        "first_name": "STEPHANIE",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R76834",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A177825",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD70108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Ray Emison, M.D.
• Kelechi Eremina Emmanuel, M.D.
• Justin Emmons, PHARM.D.
• Encare, LLC.
• Suzanna F Endsley, CM
• Jenna England
• Jason Wade Eppler, MD
• John Michael Epps, M.D.
• Laura Ashley Ermenc, M.D.
• Luanne Escue, NP

• Ophthalmology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.
• 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.