Individual provider Active NPI

Thomas Franklin Stout I, MD

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1114996725
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2016-01170 Issued in NC
Practice address
1010 Edgehill Rd N
Charlotte, NC 28207-1885
Phone
(704) 446-1900
NPI assigned
Mar 16, 2006
Reactivated
Jan 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2016-01170 NC Primary

Addresses

Primary practice location

1010 Edgehill Rd N
Charlotte, NC 28207-1885

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

315 Medical Park Dr
Ste 202
Concord, NC 28025-1902
Phone (704) 403-1911

Other practice location 2

10660 Park Rd
Ste 4500
Charlotte, NC 28210-8413
Phone (704) 667-8800

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tstout537588@CarolinasHealthcareSystem.direct-ci.com Atrium Health
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
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170314000497 NC Practitioner - Neurology 5799060711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Brody School of Medicine at East Carolina University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group Coastal Region LLCGroup PAC ID 2860809936, 577 clinicians

Practice addresses (Care Compare)

1509 Doctors Cir
BLDG C
Wilmington, NC 28401-7403
Phone (910) 662-7550

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307
  • Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068
  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-01170NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC CurrentSince May 16, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Neurology CurrentSince May 16, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Feb 23, 2021 Accepting new patients
Carolinas Medical Center CurrentSince Feb 15, 2017 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 10, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 10, 2022 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Neurology CurrentSince Feb 23, 2021 Accepting new patients
Carolinas Pathology Group, PA Current Accepting new patients
Carolinas Medical Center CurrentSince Feb 15, 2017 Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

10660 Park Rd
Ste 4500
Charlotte, NC 28210
Phone (704) 667-8800

1010 Edgehill Rd N
Charlotte, NC 28207
Phone (704) 446-1900

315 Medical Park Dr
Ste 202
Concord, NC 28025
Phone (704) 262-1911

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1509 Doctors Cir
Bldg C
Wilmington, NC 28401
Phone (910) 662-7550

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Interoperability endpoints

  • Direct secure messaging: tstout537588@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 14

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.

View all 14

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1114996725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EDGEHILL RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071885",
            "telephone_number": "704-446-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Medical Park Dr",
            "address_2": "Ste 202",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251902",
            "country_code": "US",
            "telephone_number": "704-403-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10660 Park Rd",
            "address_2": "Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108413",
            "country_code": "US",
            "telephone_number": "704-667-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "THOMAS",
        "middle_name": "FRANKLIN",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-07-15",
        "certification_date": "2022-04-14",
        "deactivation_date": "2012-03-23",
        "reactivation_date": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2016-01170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstout537588@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1010 Edgehill Rd N",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.