Stanford Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

STANFORD CLINIC LLC

Practice address

5192 Main St
Lucedale, MS 39452-6771

Phone

(601) 947-0250

NPI assigned

Apr 6, 2026

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Casey StanfordNPI 1992325740

Title

Owner/MD

Phone

(601) 947-0250

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Casey Christopher Stanford, MD

  • General Practice Physician
  • Lucedale, MS
  • NPI 1992325740
  NPD Authorized official

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1225979826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5192 MAIN ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526771",
            "telephone_number": "601-947-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5192 MAIN ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526771",
            "telephone_number": "601-947-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "601-947-0250",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Smith, MSN, FNP
• Jordan Kennedy Smith
• Lauren H Smith, PT
• Southern Sound Diagnostics
• Southerncare, Inc. (SouthernCare Lucedale)
• Casey Christopher Stanford, MD
• Rollie Demetrius Steele, M.D.
• Natalia Angelia Stevenson-Harris, FNP
• Gaye Stewart-Damron, PT
• Lori Wicker Stokes

• General Practice Physician in Lucedale, MS
• Providers in Lucedale, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.