Active NPI
Rodney Jay Stanley, MD
- Orthopaedic Surgery Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2006-01142
- Practice address
- 124 Welton Way
Mooresville, NC 28117-9163 - Phone
- (704) 323-2000
- NPI assigned
- Oct 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2006-01142 | NC | Primary |
Addresses
Primary practice location
124 Welton Way
Mooresville, NC 28117-9163
Mailing address
4601 Park Rd
Suite 300
Charlotte, NC 28209-3239
Phone (704) 323-2000
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5904690 | Medicaid | NC | |
| 89015XT | Other | NC | MEDICAID GROUP ID |
| 4519120001 | Other | NC | PALMETTO GBE DMERC GROUP ID |
| DE4365 | Other | NC | RAILROAD MEDICARE GROUP ID |
| 015XT | Other | NC | BCBS GROUP ID |
| MD025310 | Other | LA | MD LICENSE |
| P00401272 | Other | NC | RAILROAD MEDICARE INDIVIDUAL ID |
| 1428Y | Other | NC | BCBS |
| M2127 | Other | TX | MD LICENSE |
| 2006-01142 | Other | NC | NC STATE LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Carolina Physical Therapy Associates LLCLegacy Healthcare Services IncSelect Physical Therapy Holdings Inc
Practice addresses (Care Compare)
124 Welton Way
Mooresville, NC 28117-9163
Phone (704) 323-2276
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717
548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271
7482 Waterside Crossing Blvd
Denver, NC 28037-3006
Phone (704) 827-0598
Hospital & facility affiliations
- Lake Norman Home Health
- Duke Health Lake Norman Hospital
- Iredell Memorial Hospital Inc
- Novant Health Huntersville Medical Center
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01142 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
124 Welton Way
Mooresville, NC 28117
Phone (704) 323-3799
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1497704217
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
-
- Orthopaedic Surgery Physician
- Indian Land, SC
- NPI 1619641453
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
-
- Home Health Agency
- Mooresville, NC
- NPI 1942683503
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1386737534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD",
"address_2": "SUITE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093239",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 WELTON WAY",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179163",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "RODNEY",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2006-01142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904690",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP ID",
"identifier": "89015XT",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBE DMERC GROUP ID",
"identifier": "4519120001",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP ID",
"identifier": "DE4365",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP ID",
"identifier": "015XT",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "MD025310",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE INDIVIDUAL ID",
"identifier": "P00401272",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1428Y",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "M2127",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE LIC",
"identifier": "2006-01142",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.