Active NPI
Roger Dale Stanmore, M.D.
- Family Medicine Physician
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00013106
- Practice address
- 7583 Wall Triana Hwy
Madison, AL 35757-8327 - Phone
- (256) 547-6119
- Fax
- (256) 546-2981
- NPI assigned
- Jun 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00013106 | AL | Primary |
Addresses
Primary practice location
7583 Wall Triana Hwy
Madison, AL 35757-8327
Mailing address
PO Box 303
Gadsden, AL 35902-0303
Phone (256) 547-6119
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51532050 | Other | AL | BLUE CROSS BLUE SHIELD |
| 009932569 | Medicaid | AL | |
| 3015 | Other | AL | NEIC SITE ID |
| 51001283 | Other | AL | BLUE CROSS BLUE SHIELD |
| 3002 | Other | AL | NEIC SITE ID, NSF BA0-7 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050815000377 | AL | Practitioner - Emergency Medicine | 3173550266 | Reassigns benefits to 11 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Meharry Medical College School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Correct Care, Inc.Coffee County Physician Group PCNewgen Alabama Billing LLC
Practice addresses (Care Compare)
14600 Saint Stephens Ave
Chatom, AL 36518-6711
Phone (251) 847-2223
15155 Hwy 43
Russellville, AL 35653-1975
Phone (256) 332-1611
295 S Jackson St
Grove Hill, AL 36451-3231
Phone (251) 275-3191
Hospital & facility affiliations
- Atmore Community Hospital
- Washington County Hospital
- Grove Hill Memorial Hospital
- D W McMillan Memorial Hospital
- Russellville Hospital
- Washington County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13106 | AL | MD | Pharmacist |
| 00013106 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Current | Accepting new patients | |
| Lakeland Physicians LLC | Family Medicine | Current | Accepting new patients |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Family Medicine | Current | Accepting new patients |
| NWMC Winfield Physicians LLC | Family Medicine | Current | Accepting new patients |
| Ess of Luverne LLC | Current | Accepting new patients | |
| WH Services Brewton LLC | Current | Accepting new patients | |
| Correct Care, Inc. | Current | Accepting new patients | |
| Ihp Al ER PLLC | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Newgen Alabama Billing LLC | Current | Accepting new patients | |
| Premier Urgent Care Inc. | Past | Accepting new patients | |
| Crenshaw County Health Care Authority | Past | Accepting new patients | |
| Lakeland Physician Practices LLC | Family Medicine | Past | Accepting new patients |
Locations
1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439
401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100
295 S Jackson St
Grove Hill, AL 36451
Phone (251) 275-3191
42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374
22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113
7583 Wall Triana Hwy
Madison, AL 35757
Phone (256) 830-5777
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611
1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005
1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000
125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBBFBD
Organizations & group practices 18
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Grove Hill, AL
- NPI 1568187359
AL
-
- Family Medicine Physician
- Winfield, AL
- NPI 1366831380
AL, Family Medicine
-
- Medical Toxicology (Emergency Medicine) Physician
- Harvest, AL
- NPI 1871133454
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Atmore, AL
- NPI 1124073879
Hospital
-
- Critical Access Hospital
- Chatom, AL
- NPI 1487699203
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1295772986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 303",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359020303",
"telephone_number": "256-547-6119",
"fax_number": "256-546-2981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7583 WALL TRIANA HWY",
"city": "MADISON",
"state": "AL",
"postal_code": "357578327",
"telephone_number": "256-547-6119",
"fax_number": "256-546-2981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANMORE",
"first_name": "ROGER",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00013106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51532050",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009932569",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIC SITE ID",
"identifier": "3015",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51001283",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIC SITE ID, NSF BA0-7",
"identifier": "3002",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.