Individual provider Active NPI

David Granville Stanley, M.D.

  • Vascular Surgery Physician
  • Oak Ridge, TN
National Provider Identifier
1265418032
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD004672 Issued in TN
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102001095 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 2668490210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyperbaric Wound Specialists, PLLCGroup PAC ID 0547273070, 6 clinicians

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

ProcedureNumber of procedures
Removal of tissue42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD004672TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperbaric Wound Specialists, PLLC CurrentSince May 1, 2006 Accepting new patients
Vascular Diagnostic Center of Oak Ridge Inc CurrentSince Jun 1, 1985 Accepting new patients
Physicians Diagnostic Services PastSince Jan 1, 1990 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.