S. H. Story, III, MD, P.C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

017559 Issued in GA

Legal business name

S. H. STORY, III, MD, P.C.

Practice address

501 Blackburn Dr
Martinez, GA 30907-8201

Phone

(706) 854-8340

Fax

(706) 854-8388

NPI assigned

Jul 27, 2016

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacy H. Story III, MDNPI 1043245939

Title

Physician

Phone

(706) 829-3516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Hammond Story III, M.D.

  • Anesthesiology Physician
  • Martinez, GA
  • NPI 1043245939
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1639622574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3967",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143967",
            "telephone_number": "864-704-8829",
            "fax_number": "706-854-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BLACKBURN DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078201",
            "telephone_number": "706-854-8340",
            "fax_number": "706-854-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. H. STORY, III, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-829-3516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "017559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Martinez, GA
• Providers in Martinez, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.