NPIMap

Organization Active NPI

Stalls Medical, Inc.

  • Customized Equipment (DME)
  • Greenville, NC
National Provider Identifier
1326248550
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
00324 Issued in NC
Legal business name
STALLS MEDICAL, INC.
Practice address
3604 Marine Dr
Greenville, NC 27834-8308
Phone
(252) 758-8892
Fax
(252) 758-5575
NPI assigned
Jul 25, 2007
Last updated
Feb 20, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
STALLS MEDICAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Mr. Jerry C. Stalls
Title
President
Phone
(919) 233-0732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 00324 NC Primary

Addresses

Primary practice location

3604 Marine Dr
Greenville, NC 27834-8308

Mailing address

3604 Marine Dr
Greenville, NC 27834-8308
Phone (252) 758-8892

Other identifiers 1

IdentifierTypeStateIssuer
7700468MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930095192 NC DME Supplier - Medical Supply Company 3375669989 Practice locations: Greenville, NC

Other NPIs with the same Medicare PAC ID 3

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Stalls Medical Inc3604 Marine Dr, Greenville, NC 27834-8308(252) 758-8892 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Patient Lifts|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelch… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Stalls Medical Inc4 organizations share this tax ID, including this one
Part of
Stalls Medical Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7980 Chapel Hill Rd
Ste 101
Cary, NC 27513
Phone (919) 233-0732

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1326248550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 MARINE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348308",
            "telephone_number": "252-758-8892",
            "fax_number": "252-758-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 MARINE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348308",
            "telephone_number": "252-758-8892",
            "fax_number": "252-758-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLS MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STALLS MEDICAL, INC.",
        "enumeration_date": "2007-07-25",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "STALLS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-233-0732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "00324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700468",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.