Individual provider Active NPI

Stephanie L McCune, PAC

  • Physician Assistant
  • Abington, PA
National Provider Identifier
1326065830
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TMA051563 Issued in PA
Practice address
1200 Old York Road
Abington, PA 19001
Phone
(215) 481-4355
Fax
(215) 481-4629
NPI assigned
Jul 17, 2006
Last updated
May 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TMA051563 PA Primary

Addresses

Primary practice location

1200 Old York Road
Abington, PA 19001

Mailing address

PO Box 3012
Wilmington, DE 19804
Phone (800) 456-4629

Other names 1

  • Stephanie L Bouffard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031002254 GA Practitioner - Physician Assistant 5496750895 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Primary Care Partners LLCGroup PAC ID 8022554526, 20 clinicians

Practice addresses (Care Compare)

60 Exchange St
Suite B7
Richmond Hill, GA 31324-7646
Phone (912) 756-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TMA051563PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Urgent Care Center of Richmond Hill, LLC CurrentSince Feb 9, 2023 Accepting new patients
The Urgent Care Center of Richmond Hill, LLC CurrentSince Feb 9, 2023 Accepting new patients
Doylestown Emergency Associates PC Past Accepting new patients

Locations

632 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 430-4545

2201 Pooler Pkwy
Ste 700
Pooler, GA 31322
Phone (912) 756-2273

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

463 S Columbia Ave
#A
Rincon, GA 31326
Phone (912) 812-1001

318 Mall Blvd
Ste 300B
Savannah, GA 31406
Phone (912) 358-1515

818 Abercorn St
Savannah, GA 31401
Phone (912) 756-2273

Interoperability endpoints

  • Direct secure messaging: stephanie.mccune.1@31652.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1326065830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19804",
            "telephone_number": "800-456-4629",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK ROAD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "215-481-4355",
            "fax_number": "215-481-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "TMA051563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BOUFFARD",
            "middle_name": "L",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.