Craig Andrew Stuck, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

14376 Issued in SC

Practice address

15 Medical Park Rd
Suite 301
Columbia, SC 29203-8003

Phone

(803) 255-3400

Fax

(803) 255-3420

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Jefferson Medical College of Thomas Jefferson University, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, 226 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCABAA

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.

• South Carolina Dept of Mental Health Accounting Office

  • Psychiatric Hospital
  • Anderson, SC
  • NPI 1376595041

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Fairfield Medical Associates, LLC

  • Rural Health Clinic/Center
  • Winnsboro, SC
  • NPI 1184737892
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  • Substance Abuse Rehabilitation Facility
  • Columbia, SC
  • NPI 1295787869
  NPD
• Physician'S Pain and Spine Center, LLC

  • Interventional Pain Medicine Physician
  • West Coumbia, SC
  • NPI 1336475573
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1386604783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291805218",
            "telephone_number": "803-815-5568",
            "fax_number": "803-635-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL PARK RD",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038003",
            "telephone_number": "803-255-3400",
            "fax_number": "803-255-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCK",
        "first_name": "CRAIG",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "14376",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "14376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143767",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Cortland Stuart, D.M.D.
• Renee Anne Stuart, OTR/L
• April Dannee Stubbs
• Thomas M Stubbs, M.D.
• Alison Ann Stuck, NP
• Judy Stuck, APRN
• William W Stuck, MD
• Ashley Stuckey, RBT
• Cherie Monique Stuckey, MSP, CCC-SLP
• Gary Lee Stuckey, LPC

• Child & Adolescent Psychiatry Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Child & Adolescent Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.

Verify at the official NPI Registry.