Individual provider Active NPI

Stacy-Ann Shemaine Comer, DO

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1508149162
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020-00499 Issued in NC
Practice address
5815 Blakeney Park Dr Ste 200B
Charlotte, NC 28277-5734
Phone
(704) 316-5080
Fax
(704) 316-5085
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2020-00499 NC Primary

Addresses

Primary practice location

5815 Blakeney Park Dr Ste 200B
Charlotte, NC 28277-5734

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

16455 Statesville Rd
Ste 360
Huntersville, NC 28078-7135
Phone (704) 801-3300

Other practice location 2

2709 Water Ridge Pkwy
Building 5, Suite 500
Charlotte, NC 28217-4596
Phone (704) 446-9173

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190123000760 PA Practitioner - HospitalistPractitioner - Internal Medicine 8022266378 Reassigns benefits to 1 organization
I20200604003359 NC Practitioner - Internal MedicinePractitioner - Emergency Medicine 8022266378 Reassigns benefits to 7 organizations
I20241114003016 SC Practitioner - Internal Medicine 8022266378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vohra Post Acute Care Physicians of the East PAGroup PAC ID 5496981243, 56 clinicians
Vohra Wound Physicians of Ny PLLCGroup PAC ID 0446410435, 35 clinicians

Practice addresses (Care Compare)

59 Blackstock Rd
Inman, SC 29349-1827
Phone (864) 472-2028

717 Green Valley Rd
Suite 200
Greensboro, NC 27408-2156
Phone (877) 866-7123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue743
Removal of skin lesions64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2020-00499NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patheous Medical PLLC CurrentSince Dec 5, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 18, 2023 Accepting new patients
Hospitalist Solution, PLLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Vohra Post Acute Care Physicians of the East, PA CurrentSince Oct 28, 2024 Accepting new patients
Carolinas Physicians Network, Inc CurrentSince Sep 14, 2021 Accepting new patients
Advanced Inpatient Medicine PC CurrentSince Feb 1, 2019 Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Jan 25, 2021 Accepting new patients
Vohra Wound Physicians of Ny, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 25, 2021 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Internal Medicine CurrentSince May 15, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine CurrentSince Dec 18, 2023 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

10500 Barkley St
Ste 112
Overland Park, KS 66212

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

338 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 502-8570

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2709 Water Ridge Pkwy
Ste 500
Charlotte, NC 28217
Phone (704) 446-9173

15110 John J Delaney Dr
Ste 200
Charlotte, NC 28277
Phone (704) 302-8100

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

717 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 444-6894

16455 Statesville Rd
Ste 360
Huntersville, NC 28078
Phone (704) 801-3300

201 Dale Earnhardt Blvd
Ste 200
Kannapolis, NC 28081
Phone (704) 403-7300

1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

4208 Six Forks Rd
Ste 1038
Raleigh, NC 27609

401 Mocksville Ave
Salisbury, NC 28144
Phone (704) 384-9568

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
#M
Wilkes Barre, PA 18764

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

1007 N Kings St
Columbia, SC 29223
Phone (803) 699-4111

59 Blackstock Rd
Inman, SC 29349
Phone (864) 472-2028

Interoperability endpoints

  • Direct secure messaging: scomer1232704@direct.novanthealth.org
  • Direct secure messaging: scomer430041@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: ambulatory@direct.carolinashealthcare.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1508149162",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 BLAKENEY PARK DR STE 200B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775734",
            "telephone_number": "704-316-5080",
            "fax_number": "704-316-5085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16455 Statesville Rd",
            "address_2": "Ste 360",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280787135",
            "country_code": "US",
            "telephone_number": "704-801-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2709 Water Ridge Pkwy",
            "address_2": "Building 5, Suite 500",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282174596",
            "country_code": "US",
            "telephone_number": "704-446-9173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMER",
        "first_name": "STACY-ANN",
        "middle_name": "SHEMAINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-00499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "16455 Statesville Rd",
            "address_2": "Ste 360",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280787135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.