Individual provider Active NPI

Stephen Wayne Stocking, PA-C

  • Physician Assistant
  • Albany, GA
National Provider Identifier
1104903392
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003829 Issued in GA
Practice address
804 13TH Ave
Albany, GA 31701-1328
Phone
(229) 438-5864
Fax
(229) 438-1004
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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 003829 GA Primary

Addresses

Primary practice location

804 13TH Ave
Albany, GA 31701-1328

Mailing address

PO Box 1155
Leesburg, GA 31763-1155
Phone (229) 759-2417

Other identifiers 2

IdentifierTypeStateIssuer
003829OtherGALICENSE NUMBERT
541421067BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040216000100 GA Practitioner - Physician Assistant 5092609586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

1390 US Hwy 19 S
Leesburg, GA 31763-4831
Phone (229) 312-7490

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

2709 Meredyth Dr
Suite 330
Albany, GA 31707-0213
Phone (229) 312-9651

Hospital & facility affiliations

  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003829GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Oct 1, 2020 Accepting new patients
Phoebe Primary Care CurrentSince Oct 1, 2020 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Americus & Sumter County Hospital Authority Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Sumter Regional Medical Group, PC Past Accepting new patients

Locations

804 13th Ave
Albany, GA 31701
Phone (229) 291-2451

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

910 N 5th St
Ste B
Cordele, GA 31015
Phone (229) 928-1909

Interoperability endpoints

  • Direct secure messaging: stephen.stocking@phoebehealth.gadirect.net

Organizations & group practices 7

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 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1104903392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1155",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317631155",
            "telephone_number": "229-759-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 13TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011328",
            "telephone_number": "229-438-5864",
            "fax_number": "229-438-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKING",
        "first_name": "STEPHEN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBERT",
            "identifier": "003829",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541421067B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.