Michael A. Stanley

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

197129 Issued in TN

Practice address

355 New Shackle Island Rd
Hendersonville, TN 37075-2479

Phone

(615) 338-1000

NPI assigned

Jul 10, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Imc-Diagnostic and Medical Clinic LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1447201066
  Medicare reassignment Care Compare group NPD
• Imc-Diagnostic and Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Saraland, AL
  • NPI 1568235000
  NPD

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

• Gulf Health Hospitals, Inc

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Mobile Infirmary Association

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1164313912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WYNBROOKE TRCE",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756706",
            "telephone_number": "615-799-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752479",
            "telephone_number": "615-338-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "197129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Eric Stamper, O.D.
• Bernadette Stamps
• Makenzie Stancill
• Katherine McLean Stanfill, FNP
• Brodey Stanley
• Blair Alexandra Stanton
• Jamesha Starnes
• State of Tennessee
• Courtney Staton
• Staveoff Tennessee LLC

• Nurse Practitioner in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.