Individual provider Active NPI

Roger Dale Stanmore, M.D.

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1295772986
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00013106 Issued in AL
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51532050OtherALBLUE CROSS BLUE SHIELD
009932569MedicaidAL
3015OtherALNEIC SITE ID
51001283OtherALBLUE CROSS BLUE SHIELD
3002OtherALNEIC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 96 clinicians
Coffee County Physician Group PC 20 clinicians
Newgen Alabama Billing LLC 99 clinicians

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 Hospital, Atmore, AL, CCN 010169
  • Washington County Hospital Hospital, Chatom, AL, CCN 011300
  • Grove Hill Memorial Hospital Hospital, Grove Hill, AL, CCN 010091
  • D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099
  • Russellville Hospital Hospital, Russellville, AL, CCN 010158
  • Washington County Hospital Nursing home, CCN 01Z300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13106ALMDPharmacist
00013106ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Current Accepting new patients
Lakeland Physicians LLC Family Medicine CurrentSince Dec 11, 2017 Accepting new patients
American Family Care, LLC CurrentSince Aug 15, 2013 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Aug 15, 2013 Accepting new patients
NWMC Winfield Physicians LLC Family Medicine CurrentSince Mar 18, 2018 Accepting new patients
Ess of Luverne LLC CurrentSince Nov 29, 2023 Accepting new patients
WH Services Brewton LLC CurrentSince Oct 22, 2023 Accepting new patients
Correct Care, Inc. CurrentSince Dec 28, 2016 Accepting new patients
Ihp Al ER PLLC CurrentSince Mar 1, 2023 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince Oct 15, 2021 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince Oct 15, 2021 Accepting new patients
Rush Hospital/Butler, Inc Current Accepting new patients
Newgen Alabama Billing LLC CurrentSince Jul 31, 2025 Accepting new patients
Premier Urgent Care Inc. PastSince Jan 12, 2020 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

  • FHIR API: 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.

View all 18

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.