NPIMap

Individual provider Active NPI

Stacey L Epps, M.D.

  • Neurology Physician
  • Chester, VA
National Provider Identifier
1154391571
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101058954 Issued in VA
Practice address
11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1466
Phone
(804) 285-6880
Fax
(804) 706-1585
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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 0101058954 VA Primary

Addresses

Primary practice location

11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1466

Mailing address

11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1466
Phone (804) 285-6880

Other identifiers 2

IdentifierTypeStateIssuer
C09633OtherVAGROUP PTAN
010181330MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000011 VA Practitioner - Neurology 1759332406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1468
Phone (804) 285-6880

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

1510 N 28TH St
Richmond, VA 23223-5311

601 Watkins Centre Pkwy
Suite 250
Midlothian, VA 23114-4412
Phone (804) 325-8750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101058954VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St. Francis Medical Center Inc Neurology CurrentSince Mar 1, 2010 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Bon Secours St. Francis Medical Center LLC CurrentSince Mar 1, 2010 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Neurology CurrentSince Jan 1, 2021 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Bon Secours St. Francis Medical Center LLC Current Accepting new patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients
Henrico Doctors Neurology Associates LLC Neurology PastSince Oct 1, 2015 Accepting new patients
CJW Infectious Disease LLC Past Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients

Locations

11601 Iron Bridge Rd
Ste 207
Chester, VA 23831
Phone (804) 285-6880

95 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0023

8262 Atlee Rd
Ste 330
Mechanicsville, VA 23116
Phone (804) 325-8720

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

601 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 325-8750

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

5875 Bremo Rd
Ste G7
Richmond, VA 23226
Phone (804) 288-8900

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

4630 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

Interoperability endpoints

  • Direct secure messaging: sepps1150955@direct.bsmhealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1154391571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 207",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311466",
            "telephone_number": "804-285-6880",
            "fax_number": "804-706-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 207",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311466",
            "telephone_number": "804-285-6880",
            "fax_number": "804-706-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPS",
        "first_name": "STACEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101058954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010181330",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.