Organization Active NPI

Stanley Holdings LLC Dba Pepmed

  • Primary Care Clinic/Center
  • Johnson City, TN
National Provider Identifier
1407763154
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STANLEY HOLDINGS LLC DBA PEPMED
Practice address
2500 Gilmer St
Johnson City, TN 37604-6416
Phone
(828) 333-1297
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Mr. George Edward Stanley
Title
Head of Operations
Phone
(828) 333-1297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2500 Gilmer St
Johnson City, TN 37604-6416

Mailing address

2500 Gilmer St
Johnson City, TN 37604-6416

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1407763154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GILMER ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GILMER ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046416",
            "telephone_number": "828-333-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY HOLDINGS LLC DBA PEPMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "HEAD OF OPERATIONS",
        "authorized_official_telephone_number": "828-333-1297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.