Individual provider Active NPI

Stanley Clark Newhall, MD

  • General Practice Physician
  • Lawrenceville, GA
National Provider Identifier
1295969251
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
169782-1205 Issued in UT
Practice address
799 Clairidge Elm TRL
Lawrenceville, GA 30046-7759
Phone
(801) 860-8274
Fax
(801) 596-8888
NPI assigned
May 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 169782-1205 UT
General Practice Physician 208D00000X 169782-1205 UT Primary

Addresses

Primary practice location

799 Clairidge Elm TRL
Lawrenceville, GA 30046-7759

Mailing address

799 Clairidge Elm TRL
Lawrenceville, GA 30046-7759
Phone (801) 860-8274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
169782-1205UTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sturgis Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Three Rivers Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Ea Health Physicians Medical Group - National LLC Emergency Medicine Past Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients
Depot Emergency Physicians Emergency Medicine Past Accepting new patients
Michigan Em-I Medical Services, P.C. Past Accepting new patients
Kalamazoo Emergency Associates, PLC Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: snewhall@direct.wtbyhosp.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1295969251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 CLAIRIDGE ELM TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467759",
            "telephone_number": "801-860-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 CLAIRIDGE ELM TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467759",
            "telephone_number": "801-860-8274",
            "fax_number": "801-596-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWHALL",
        "first_name": "STANLEY",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "169782-1205",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "169782-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.