Organization Active NPI

County of Stokes

Public Health or Welfare Agency
Danbury, NC

National Provider Identifier

1316914534

Registry record updated Jul 19, 2023

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Other NPIs with the same Medicare PAC ID1
Practitioners7
Laboratory certificates & supplier records
NPI Registry JSON
Other providers in Danbury, NC
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name: COUNTY OF STOKES
Practice address: 1009 N. Main Street
Danbury, NC 27016-0187
Phone: (336) 593-2400
Fax: (336) 593-9361
NPI assigned: Mar 7, 2006
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name: Mr. Tammy Martin, MPH
Title: Health Director
Phone: (336) 593-2435

Specialties & licenses 9

Specialty (taxonomy)	Code	License	State	Primary
Case Management Agency	251B00000X	1316914534	NC
Public Health or Welfare Agency	251K00000X			Primary
Community Health Clinic/Center	261QC1500X	1316914534	NC
Non-Surgical Family Planning Clinic/Center	261QF0050X	1316914534	NC
Multi-Specialty Clinic/Center	261QM1300X	1316914534	NC
State or Local Public Health Clinic/Center	261QP0905X	1316914534	NC
Primary Care Clinic/Center	261QP2300X	1316914534	NC
Clinical Medical Laboratory	291U00000X	1316914534	NC
Clinic Pharmacy	3336C0002X	1316914534	NC

Addresses

Primary practice location

1009 N. Main Street
Danbury, NC 27016-0187

Mailing address

PO Box 187
Danbury, NC 27016-0187
Phone (336) 593-2400

Other identifiers 6

Identifier	Type	State	Issuer
1B0104K	Other	NC	BCBS ALTERNATE
2803872	Other	NC	MEDICARE FLU ROSTER
3403053	Medicaid	NC
0104K	Other	NC	BCBS
3404385	Medicaid	NC
3404446	Medicaid	NC

Other names 1

Stokes Family Health Center Doing business as

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Enrolled in NC

Enrollment records 1

Enrollment ID	State	Provider type	PAC ID	Details
O20230613002027	NC	Part B Supplier - Clinic/Group Practice	4284712142	Receives reassigned benefits from 2 practitioners Practice locations: Dabury, NC

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Stokes County EMS
- Land Ambulance
- Danbury, NC
- NPI 1952306862
Member Of
NPD member

Locations

1010 N Main St
Danbury, NC 27016
Phone (336) 593-2401

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Stokes County EMS
- Land Ambulance
- Danbury, NC
- NPI 1952306862
4284712142
Same PAC ID

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Lisa Anne Cassidy-Vu, MD
- Family Medicine Physician
- Winston Salem, NC
- NPI 1093763351
NC
Medicare reassignment NPD
Marie Hill Stanley
- Family Nurse Practitioner
- Minnetonka, MN
- NPI 1235609801
NC
Medicare reassignment NPD
Maria Anne Fortin, PA-C
- Physician Assistant
- Greensboro, NC
- NPI 1821368895
NPD (past)
Demera Jamie Hale, RD
- Registered Dietitian
- Danbury, NC
- NPI 1003135237
NPD (past)
Gale Lynn Harkness, MPH PHD PAC
- Medical Physician Assistant
- Danbury, NC
- NPI 1326016486
NPD (past)
Amy Leroy Main, NP
- Psychiatric/Mental Health Nurse Practitioner
- Winston Salem, NC
- NPI 1205301710
NPD (past)
Karen Maureen Chandler, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Tucson, AZ
- NPI 1073579447
NPD (past)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
34D0920549	Stokes County Health Department1009 N Main St, Danbury, NC 27016	Provider-performed microscopy	Sep 30, 2027
34D1078369	Stokes County Health Department1009 N Main Street, Danbury, NC 27016	Certificate of waiver	Jan 7, 2028

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1316914534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "DANBURY",
            "state": "NC",
            "postal_code": "270160187",
            "telephone_number": "336-593-2400",
            "fax_number": "336-593-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N. MAIN STREET",
            "city": "DANBURY",
            "state": "NC",
            "postal_code": "270160187",
            "telephone_number": "336-593-2400",
            "fax_number": "336-593-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF STOKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "336-593-2435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "1316914534",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NC",
            "license": "1316914534",
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NC",
            "license": "1316914534",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "1316914534",
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NC",
            "license": "1316914534",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "1316914534",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "1316914534",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "1316914534",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALTERNATE",
            "identifier": "1B0104K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU ROSTER",
            "identifier": "2803872",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403053",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0104K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404385",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404446",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stokes Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stokes Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danbury, NC

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
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.

Verify at the official NPI Registry.