Active NPI
Frederick C. Stone Jr., M.D.
- Family Medicine Physician
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 81570
- Practice address
- 115 N Sumter St Ste 400
Sumter, SC 29150-4971 - Phone
- (803) 774-7425
- Fax
- (803) 774-9426
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34255 | AZ | |
| Family Medicine Physician | 207Q00000X | 10855768 | LA | |
| Family Medicine Physician | 207Q00000X | 81570 | SC | Primary |
Addresses
Primary practice location
115 N Sumter St Ste 400
Sumter, SC 29150-4971
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other practice location 1
420 Avenue F
Bogalusa, LA 70427-3634
Phone (985) 730-6970
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815700 | Medicaid | SC | |
| 965957 | Medicaid | AZ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fstone5277273@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, SC, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 Ave F
Bogalusa, LA 70427-3634
Phone (985) 730-6706
433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706
Hospital & facility affiliations
- Our Lady of the Angels Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10855768 | LA | MD | Family Medicine Physician |
| 28091 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Wash-St Tammany Reg Medical Center | Current | Accepting new patients | |
| Our Lady of the Angels Hospital, Inc. | Past | Accepting new patients | |
| Washington St. Tammany Regional Medical Center | Past | Accepting new patients |
Locations
2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100
433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1912334533
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1073583472
-
- Multi-Specialty Clinic/Center
- Grand Canyon, AZ
- NPI 1891810024
-
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1508809088
-
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1093140600
-
- Pharmacy
- Bogalusa, LA
- NPI 1801801436
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bogalusa, LA
- NPI 1093140600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1356307441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N SUMTER ST STE 400",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504971",
"telephone_number": "803-774-7425",
"fax_number": "803-774-9426"
}
],
"practiceLocations": [
{
"address_1": "420 Avenue F",
"address_purpose": "LOCATION",
"city": "Bogalusa",
"state": "LA",
"postal_code": "704273634",
"country_code": "US",
"telephone_number": "985-730-6970",
"fax_number": "985-730-6363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STONE",
"first_name": "FREDERICK",
"middle_name": "C.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "34255",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "10855768",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "81570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "815700",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "965957",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fstone5277273@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fstrone5277273@direct.casso.us.com",
"address_1": "420 Avenue F",
"city": "Bogalusa",
"state": "LA",
"country_code": "US",
"postal_code": "704273634",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "420 Avenue F",
"city": "Bogalusa",
"state": "LA",
"country_code": "US",
"postal_code": "704273634",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.