Stanly County Imaging PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

STANLY COUNTY IMAGING PLLC

Practice address

301 Yadkin St
Albemarle, NC 28001-3441

Phone

(704) 984-4385

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Peter B Gusmer, MDNPI 1740285469

Title

President

Phone

(610) 457-7964

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC, OH2 enrollments

Enrollment records 2

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter B Gusmer, MD

  • Diagnostic Radiology Physician
  • Albemarle, NC
  • NPI 1740285469
  Medicare reassignment Care Compare group Authorized official
• Christopher James Heald, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1972983823

  OH

  Medicare reassignment Care Compare group NPD
• John L Green, MD

  • Diagnostic Radiology Physician
  • Albemarle, NC
  • NPI 1073518700
  Medicare reassignment Care Compare group
• Wade Richard Wilkerson, M.D.

  • Diagnostic Radiology Physician
  • Albemarle, NC
  • NPI 1891971354
  Medicare reassignment Care Compare group
• Richard Bradford Perry, MD

  • Diagnostic Radiology Physician
  • Charleston, SC
  • NPI 1467839811

  NC

  Medicare reassignment Care Compare group
• Dayne K Roberts, MD

  • Diagnostic Radiology Physician
  • Albemarle, NC
  • NPI 1164428363
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1235134958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2060",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280022060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013441",
            "telephone_number": "704-984-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLY COUNTY IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "GUSMER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-457-7964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4185",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011RN",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "011RN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stan Rich Inc (Albemarle Compounding and Prescription Center)
• Kacie B Stancil, NP
• Stanlex, Inc. (Home Care of the Carolinas)
• Stanly Adult Care Center, Inc.
• Stanly County Department of Social Services
• Stanly County Schools
• Stanly Family Care Clinic PA
• Stanly Home Care and Labs LLC
• Stanly Manor
• Stanly Manor

• Diagnostic Radiology Physician in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.