Jennie Thomas Stanford, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26586 Issued in MS

Practice address

69 Grove St
New Canaan, CT 06840-5325

Phone

(844) 359-8363

Fax

(833) 929-3520

NPI assigned

Apr 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, PA2 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

Merit-based Incentive Payment System (MIPS)

Final score

80.94 of 100Reported as group

Quality

61.89

Promoting interoperability

100

Improvement activities

40

Cost

74.58

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stanfordjt@kch.securechart.com
• Direct secure messaging: jennie.stanford@direct.scrmc.com

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.

• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004

  Clinic/Center

  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Opelika, AL
  • NPI 1730443524
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699

  Clinic/Center

  NPD
• University of Pittsburgh Physicians

  • Urgent Care Clinic/Center
  • Franklin, PA
  • NPI 1619381456
  NPD

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1588028153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GROVE ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405325",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GROVE ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405325",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Main St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Wyckoff",
            "state": "NJ",
            "postal_code": "074811406",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 E 38th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100162607",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-955-3592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "JENNIE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "26586",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CT",
            "license": "1992372403",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "1992372403",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "1043889967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07129501",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristie Wallace Smith, LMSW
• Nancie R Spector, PH.D.
• Isabel Spoehr, LCSW
• Ramani Sriram
• Jerusha E Stahl, MD
• Jennifer Lynn Stewart, O.D
• Jason Lewis Stone, RPH
• Alan M Sugar, MD
• Devon Bickford Suozzi, LCSW
• Dana Marie Surena-Mattson, MA

• Family Medicine Physician in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.