Organization Active NPI

Atrium Health Hospitals Inc

Doing business as Atrium Health Stanly

  • General Acute Care Hospital
  • Albemarle, NC
National Provider Identifier
1104627926
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ATRIUM HEALTH HOSPITALS INC
Doing business as
Atrium Health Stanly
Practice address
301 Yadkin St
Albemarle, NC 28001-3441
Phone
(704) 984-4000
NPI assigned
Mar 19, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Bradley A Clark
Title
Chief Financial Officer
Phone
(336) 972-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

301 Yadkin St
Albemarle, NC 28001-3441

Mailing address

PO Box 32861
Charlotte, NC 28232-2861

Other names 1

  • Atrium Health Stanly Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250930004781 NC Part A Provider - Hospital 9133625098 1 other NPI on this enrollment
Practice locations: Albemarle, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104627926. Details of each certification follow.

Hospital certification: CCN 340119

Legal name
ATRIUM HEALTH HOSPITALS INC
Doing business as
ATRIUM HEALTH STANLY
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 14, 2010
Beds
109
Ownership / control type
Private (not for profit)
Most recent change of ownership
Mar 1, 2016 (3 total)
Organization structure
CorporationNon-profit
Enrollment address
301 Yadkin St
Albemarle, NC 28001-3441
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Stanly Regional Medical CenterCCN 340119 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Atrium Health Hospitals Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary B Gragg Individual Corporate DirectorBoard Member May 14, 2025
Marietta K Abernathy Individual W-2 Managing EmployeeVP - Facility Executive Jul 1, 2025
Luther Amos Lockwood Individual Corporate DirectorBoard Member May 14, 2025
David a Danzie Individual Corporate DirectorBoard Member May 14, 2025
William C Cannon Individual Corporate DirectorVice Chairman - Boc May 14, 2025
Theresa Marie Payton Individual Corporate DirectorBoard Member May 14, 2025
Angelique R Vincent-Hamacher Individual Corporate DirectorChairman Boc May 14, 2025
Mark E Reed Individual Corporate DirectorVice Chairman & Secretary Boc May 14, 2025
Brett J Denton Individual Corporate OfficerAssistant Secretary Mar 14, 2025
Charles F Bowman Individual Corporate DirectorBoard Member May 14, 2025
Rodney E Ball Individual Operational/Managerial ControlGroup VP & Cfo Jul 1, 2025
Kenneth F Davis Individual Corporate DirectorBoard Member May 14, 2025
Adrienne S H Purdue Individual Corporate DirectorBoard Member May 14, 2025
Luther Kissam Individual Corporate DirectorBoard Member May 14, 2025
Swati V Daji Individual Corporate DirectorBoard Member May 14, 2025
Kenneth D Haynes Individual Corporate DirectorBoard Member May 14, 2025
Felicia H Allen Individual Corporate DirectorBoard Member May 14, 2025
The Charlotte-Mecklenburg Hospital Authority Organization, Charlotte, NC Chain home office 5% Or Greater Direct Ownership Interest Mar 14, 2025 100%
Amanda S Houser Individual Corporate DirectorBoard Member May 14, 2025
Marshall Carlson Individual Corporate DirectorBoard Member May 14, 2025
Bradley Allen Clark Individual Corporate OfficerChief Financial Officer Mar 14, 2025
Nancy J Gritter Individual Corporate DirectorBoard Member May 14, 2025
Hal a Levinson Individual Corporate DirectorBoard Member May 14, 2025
Atrium Health Inc Organization, Charlotte, NC Corporation Operational/Managerial Control Mar 14, 2025
Advocate Health Inc Organization, Charlotte, NC Corporation Operational/Managerial Control Mar 14, 2025
Michael D Rucker Individual Corporate DirectorBoard Member May 14, 2025
Todd Jamal Collins Individual Corporate DirectorBoard Member May 14, 2025
Richard T Williams Individual Corporate DirectorBoard Member May 14, 2025
William T Niblock Individual Corporate DirectorBoard Member May 14, 2025
Steven Smoot Individual Corporate OfficerPresident Jun 2, 2025
Carl J. Herring Individual Corporate DirectorBoard Member May 14, 2025
Lucia Zapata Griffith Individual Corporate DirectorBoard Member May 14, 2025

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 94

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 94

Practitioners & affiliated clinicians

Affiliated clinicians 347

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 347

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1104627926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32861",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282322861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013441",
            "telephone_number": "704-984-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM HEALTH HOSPITALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "336-972-5780"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Stanly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.