Individual provider Active NPI

Dudley W Stone, M.D.

  • Pediatrics Physician
  • Savannah, GA
National Provider Identifier
1447316880
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
51088 Issued in GA
Practice address
2 Wheeler St
Savannah, GA 31405
Phone
(912) 353-7744
Fax
(912) 355-9124
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 51088 GA Primary

Addresses

Primary practice location

2 Wheeler St
Savannah, GA 31405

Mailing address

2 Wheeler St
Savannah, GA 31405-5700
Phone (912) 353-7744

Other practice location 1

1000 Towne Center Blvd Ste 1000B
Pooler, GA 31322-4129
Phone (912) 353-7744

Other identifiers 2

IdentifierTypeStateIssuer
000952707BMedicaidGA
203704507OtherGATAX IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51088GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Pediatrics, LLC Pediatrics Current Accepting new patients
Coastal Pediatrics, LLC Pediatrics Current Accepting new patients
Privia Medical Group of Georgia LLC Past Accepting new patients

Locations

1000 Towne Center Blvd
Ste 1000B
Pooler, GA 31322
Phone (912) 353-7744

2 Wheeler St
Savannah, GA 31405
Phone (912) 353-7744

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dudley.stone.1@8042.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1447316880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WHEELER ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055700",
            "telephone_number": "912-353-7744",
            "fax_number": "912-355-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WHEELER ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-353-7744",
            "fax_number": "912-355-9124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Towne Center Blvd Ste 1000B",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224129",
            "country_code": "US",
            "telephone_number": "912-353-7744",
            "fax_number": "912-348-3589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "DUDLEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "51088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000952707B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "203704507",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.