Alex V Stock, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2014-01479 Issued in NC

Practice address

5325 Vinning St NW
Suite 101
Concord, NC 28027-2942

Phone

(704) 316-1040

Fax

(704) 316-1041

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Life Health of Charlotte PLLCGroup PAC ID 9436551280, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Active Life Health of Charlotte PLLC

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
  • NPI 1316512551
  Medicare reassignment Care Compare group NPD
• Active Life Health of Cary PLLC

  • Physical Medicine & Rehabilitation Physician
  • Cary, NC
  • NPI 1477395960
  Medicare reassignment NPD
• Active Life Health of Greensboro PLLC

  • Physical Medicine & Rehabilitation Physician
  • Greensboro, NC
  • NPI 1073355566
  Medicare reassignment NPD
• Active Life Health of Cary PLLC

  • Durable Medical Equipment & Medical Supplies
  • Cary, NC
  • NPI 1053153551
  NPD
• Active Life Health of Charlotte PLLC

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
  • NPI 1770158909
  NPD
• Active Life Health of Greensboro PLLC

  • Durable Medical Equipment & Medical Supplies
  • Greensboro, NC
  • NPI 1245072735
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1467573980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-1040",
            "fax_number": "704-316-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 VINNING ST NW",
            "address_2": "SUITE 101",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272942",
            "telephone_number": "704-316-1040",
            "fax_number": "704-316-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "ALEX",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-01479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astock166892@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5325 Vinning St NW",
            "address_2": "Suite 101",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280272942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam W Stickley, PT
• Katherine Stiff
• Brittany Nelson Stikeleather, CRNA
• Christine Ann Still, LCSW
• Janelle Rashawn Stitt, FNP-C, PMHNP-BC
• Clare O'Brien Stocks, PNP-PC
• Charles Edwin Stoddard III, MD
• Alexander Stofanik
• Shamarra Yvonne Stokes, FNP-C
• Alan James Stover, PHARMD

• Family Medicine Physician in Concord, NC
• Providers in Concord, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.