Individual provider Active NPI

Jeremy Deangelo Stocks, MD

  • Family Medicine Physician
  • Austell, GA
National Provider Identifier
1578182358
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
109477 Issued in GA
Practice address
3820 Medical Park Dr Ste 1100
Austell, GA 30106-1110
Phone
(770) 874-0692
NPI assigned
Apr 13, 2020
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43087 AL
Family Medicine Physician 207Q00000X 109477 GA Primary

Addresses

Primary practice location

3820 Medical Park Dr Ste 1100
Austell, GA 30106-1110

Mailing address

301 Governors Dr SE
Huntsville, AL 35801

Other practice location 1

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-1000

Other practice location 2

301 Governors Dr SE
Huntsville, AL 35801
Phone (256) 551-4631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231004001462 AL Practitioner - Family Practice 1153751755
I20251223003416 GA Practitioner - Family Practice 1153751755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

3820 Medical Park Dr
Suite 1100
Austell, GA 30106-1110
Phone (770) 874-0692

5604 Wendy Bagwell Pkwy
Suite 711
Hiram, GA 30141-7819
Phone (678) 384-0800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43087ALMDFamily Medicine Physician
109477GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Healthcare Alabama LLC CurrentSince Aug 1, 2023 Accepting new patients
Athens Community Care Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

22454 US Highway 72
Ste 310
Athens, AL 35613
Phone (256) 216-9744

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

3820 Medical Park Dr
#1100
Austell, GA 30106
Phone (770) 874-0692

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1578182358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 MEDICAL PARK DR STE 1100",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061110",
            "telephone_number": "770-874-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Sivley Rd SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014421",
            "country_code": "US",
            "telephone_number": "256-265-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Governors Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "35801",
            "country_code": "US",
            "telephone_number": "256-551-4631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKS",
        "first_name": "JEREMY",
        "middle_name": "DEANGELO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "43087",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "109477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.