Stalls Medical, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

00324 Issued in NC

Legal business name

STALLS MEDICAL, INC.

Practice address

3010 Eaton Ave Ste a
Indian Trail, NC 28079-8830

Phone

(704) 628-0264

NPI assigned

Nov 12, 2010

Organization subpart

Yes

Parent organization

STALLS MEDICAL, INC.As reported in NPPES

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

Authorized official

Name

Mr. Jerry C. Stalls

Title

President

Phone

(919) 233-0732

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Stalls Medical, Inc.

  • Customized Equipment (DME)
  • Greensboro, NC
  • NPI 1033319264

  3375669989

  Same PAC ID
• Stalls Medical, Inc.

  • Customized Equipment (DME)
  • Greenville, NC
  • NPI 1326248550

  3375669989

  Same PAC ID
• Stalls Medical, Inc.

  • Customized Equipment (DME)
  • Cary, NC
  • NPI 1629297494

  3375669989

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Stalls Medical Inc4 organizations share this tax ID, including this one

Part of

Stalls Medical Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Stalls Medical, Inc.

  • Customized Equipment (DME)
  • Greensboro, NC
  • NPI 1033319264
  NPD tax ID
• Stalls Medical, Inc.

  • Customized Equipment (DME)
  • Greenville, NC
  • NPI 1326248550
  NPD tax ID
• Stalls Medical, Inc.

  • Customized Equipment (DME)
  • Cary, NC
  • NPI 1629297494
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Stalls Medical, Inc.

  • Customized Equipment (DME)
  • Cary, NC
  • NPI 1629297494
  NPPES parent name

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1255632824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 EATON AVE STE A",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798830",
            "telephone_number": "704-628-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 EATON AVE STE A",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798830",
            "telephone_number": "704-628-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLS MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STALLS MEDICAL, INC.",
        "enumeration_date": "2010-11-12",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "STALLS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-233-0732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "00324",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700468",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.

Verify at the official NPI Registry.