Individual provider Active NPI

Lauren Stipp, M.D.

  • Cardiovascular Disease Physician
  • Inlet Beach, FL
National Provider Identifier
1093133704
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME130011 Issued in FL
Practice address
12805 US Highway 98 E
Inlet Beach, FL 32461-9630
Phone
(850) 278-3390
Fax
(850) 278-3389
NPI assigned
Mar 31, 2014
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101274939 VA
Cardiovascular Disease Physician 207RC0000X 0101274939 VA
Cardiovascular Disease Physician 207RC0000X ME130011 FL Primary

Addresses

Primary practice location

12805 US Highway 98 E
Inlet Beach, FL 32461-9630

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other practice location 1

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, IN, MO, SC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20171023002885 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Emergency MedicinePractitioner - Internal Medicine 7810113610 Reassigns benefits to 2 organizations
I20220906000206 VA Practitioner - Cardiovascular Disease (Cardiology) 7810113610 Reassigns benefits to 1 organization
I20230913000780 IN Practitioner - Cardiovascular Disease (Cardiology) 7810113610 Reassigns benefits to 1 organization
I20250328000309 MO Practitioner - Cardiovascular Disease (Cardiology) 7810113610 Reassigns benefits to 1 organization
I20250627001766 SC Practitioner - Cardiovascular Disease (Cardiology) 7810113610 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Diagnostic Cardiology, LLCGroup PAC ID 5991739757, 8 clinicians
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians
McLeod Loris Seacoast HospitalGroup PAC ID 9133394398, 57 clinicians
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

121 Saint Lukes Ctr Dr
Chesterfield, MO 63017-3518
Phone (314) 682-3628

12805 US Hwy 98 E
Unit G201
Inlet Beach, FL 32461-9632
Phone (850) 278-3390

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7111

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon CurrentSince Apr 4, 2025 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Apr 14, 2022 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Apr 4, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Apr 4, 2025 Accepting new patients
Lutheran Medical Group LLC Internal Medicine CurrentSince Aug 22, 2023 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Aug 29, 2022 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Apr 4, 2025 Accepting new patients
Sacred Heart Health System Inc CurrentSince Apr 14, 2022 Accepting new patients
Midwest Diagnostic Cardiology, LLC Cardiovascular Disease CurrentSince Feb 19, 2025 Accepting new patients
McLeod Health Clarendon CurrentSince Apr 4, 2025 Accepting new patients
Ascension Sacred Heart Gulf Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Apr 4, 2025 Accepting new patients
Lutheran Medical Group LLC CurrentSince Aug 22, 2023 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Apr 4, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Apr 4, 2025 Accepting new patients
Ascension Sacred Heart Gulf CurrentSince Nov 1, 2023 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients

Locations

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340

12805 US Highway 98 E
Unit G201
Inlet Beach, FL 32461
Phone (850) 278-3390

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

3871 E Highway 98
Ste 200
Port St Joe, FL 32456
Phone (850) 229-5661

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

121 Saint Lukes Center Dr
Ste 200
Chesterfield, MO 63017
Phone (314) 576-2475

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: lauren.stipp.1@9582.direct.athenahealth.com
  • Direct secure messaging: lauren.stipp.2@9582.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1093133704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 US HIGHWAY 98 E",
            "city": "INLET BEACH",
            "state": "FL",
            "postal_code": "324619630",
            "telephone_number": "850-278-3390",
            "fax_number": "850-278-3389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIPP",
        "first_name": "LAUREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101274939",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101274939",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME130011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inlet Beach, FL

Sources for this page

Verify at the official NPI Registry.