Active NPI
Stacy-Ann Shemaine Comer, DO
- Internal Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2020-00499
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 743 |
| Removal of skin lesions | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-00499 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patheous Medical PLLC | Current | 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 | Current | Accepting new patients | |
| Hospitalist Solution, PLLC | Internal Medicine | Current | Accepting new patients |
| Vohra Post Acute Care Physicians of the East, PA | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Current | Accepting new patients | |
| Advanced Inpatient Medicine PC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| Vohra Wound Physicians of Ny, PLLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Integrated Wound Specialists of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | 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
- scomer1232704@direct.novanthealth.org
- scomer430041@carolinashealthcaresystem.direct-ci.com
- 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.
-
- Family Medicine Physician
- Miramar, FL
- NPI 1063848968
SC
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1457853079
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1558666776
Internal Medicine
-
- Hospitalist Physician
- Scranton, PA
- NPI 1871725366
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
Internal Medicine, NC
-
- Hospitalist Physician
- Charlotte, NC
- NPI 1124404405
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.