Active NPI
Garnett Edward Stover III, D.C.
- Chiropractor
- Mechanicsville, VA
National Provider Identifier
1225079692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001893
- Practice address
- 9097 Atlee Station Rd
Suite 118
Mechanicsville, VA 23116-2525 - Phone
- (804) 559-1100
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001893 | VA | Primary |
Addresses
Primary practice location
9097 Atlee Station Rd
Suite 118
Mechanicsville, VA 23116-2525
Mailing address
6161 Winding Hills Dr
Mechanicsville, VA 23111-4585
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00177291 | Other | VA | RAILROAD MEDICARE |
| 3192711 | Other | VA | AETNA PPO |
| 7341062 | Other | VA | ALLIANCE/MAMSI |
| 5578730 | Other | VA | AETNA HMO |
| 125565 | Other | VA | SOUTHERN HEALTH |
| 216663 | Other | VA | ANTHEM BC/BS |
| 8879428 | Other | VA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9129 Dickey Dr
Mechanicsville, VA 23116-2502
Phone (804) 559-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001893 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stover Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
9097 Atlee Station Rd
Ste 118
Mechanicsvlle, VA 23116
Phone (804) 559-1100
9129 Dickey Dr
Mechanicsvlle, VA 23116
Phone (804) 559-1100
Organizations & group practices 1
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.
-
- Chiropractor
- Mechanicsville, VA
- NPI 1962620138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1225079692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 WINDING HILLS DR",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231114585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9097 ATLEE STATION RD",
"address_2": "SUITE 118",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162525",
"telephone_number": "804-559-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "GARNETT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00177291",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "3192711",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE/MAMSI",
"identifier": "7341062",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "5578730",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "125565",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "216663",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8879428",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.