Active NPI
David Granville Stanley, M.D.
- Vascular Surgery Physician
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD004672
- Practice address
- 988 Oak Ridge Tpke
Physicians Plaza, Ste 350
Oak Ridge, TN 37830-6930 - Phone
- (865) 483-7030
- Fax
- (865) 483-3954
- NPI assigned
- Dec 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD004672 | TN | |
| Vascular Surgery Physician | 2086S0129X | MD004672 | TN | Primary |
Addresses
Primary practice location
988 Oak Ridge Tpke
Physicians Plaza, Ste 350
Oak Ridge, TN 37830-6930
Mailing address
988 Oak Ridge Tpke
Physicians Plaza, Ste 350
Oak Ridge, TN 37830-6930
Phone (865) 483-7030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1962
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 A W Tennessee Ave
Oak Ridge, TN 37830-6940
Phone (865) 835-3740
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD004672 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyperbaric Wound Specialists, PLLC | Current | Accepting new patients | |
| Vascular Diagnostic Center of Oak Ridge Inc | Current | Accepting new patients | |
| Physicians Diagnostic Services | Past | Accepting new patients |
Locations
988 Oak Ridge Tpke
Ste L40
Oak Ridge, TN 37830
Phone (865) 482-4028
988 Oak Ridge Tpke
Ste 350
Oak Ridge, TN 37830
Phone (423) 483-7030
988 Oak Ridge Tpke
Ste 120
Oak Ridge, TN 37830
Phone (865) 482-4028
969 Oak Ridge Tpke
Oak Ridge, TN 37830
160A W Tennessee Ave
Oak Ridge, TN 37830
Phone (865) 835-3740
Organizations & group practices 3
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.
-
- Specialist
- Oak Ridge, TN
- NPI 1689612640
-
- Vascular Sonography Radiologic Technologist
- Oak Ridge, TN
- NPI 1891717419
-
- Diagnostic Ultrasound Physician
- Oak Ridge, TN
- NPI 1891816500
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1265418032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE",
"address_2": "PHYSICIANS PLAZA, STE 350",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306930",
"telephone_number": "865-483-7030",
"fax_number": "865-483-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE",
"address_2": "PHYSICIANS PLAZA, STE 350",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306930",
"telephone_number": "865-483-7030",
"fax_number": "865-483-3954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "DAVID",
"middle_name": "GRANVILLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD004672",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "MD004672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.