Individual provider Active NPI

Marcella Williams Stanton, NP

  • Nurse Practitioner
  • Laurinburg, NC
National Provider Identifier
1659824811
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008744 Issued in NC
Practice address
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone
(910) 277-9164
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008744 NC Primary

Addresses

Primary practice location

500 Lauchwood Dr
Laurinburg, NC 28352-5501

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

410 S Jones St
Ste D
Pembroke, NC 28372-7261
Phone (910) 277-9164

Other practice location 2

1007 Cheraw St
Bennettsville, SC 29512-2422
Phone (910) 277-9164

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mstanton297324@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160926000663 NC Practitioner - Nurse Practitioner 3971890542 Reassigns benefits to 2 organizations
I20170814002650 SC Practitioner - Nurse Practitioner 3971890542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scotland Regional Health NetworkGroup PAC ID 2365573185, shared by 2 NPIs, 67 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

1007 Cheraw St
Bennettsville, SC 29512-2422
Phone (910) 277-9164

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (856) 848-3227

Hospital & facility affiliations

  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Nov 15, 2019 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Nov 15, 2019 Accepting new patients
Scotland Regional Health Network Current Accepting new patients
Scotland Regional Health Network CurrentSince Aug 8, 2016 Accepting new patients
Scotland Regional Health Network CurrentSince Aug 8, 2016 Accepting new patients
McLeod Medical Center-Dillon CurrentSince May 24, 2017 Accepting new patients
McLeod Medical Center-Dillon CurrentSince May 24, 2017 Accepting new patients
Scotland Regional Health Network Current Accepting new patients
Harris Family Practice PLLC Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1600 Medical Dr
Laurinburg, NC 28352
Phone (910) 277-9164

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

Interoperability endpoints

  • Direct secure messaging: mstanton297324@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1659824811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525501",
            "telephone_number": "910-277-9164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 S Jones St",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "283727261",
            "country_code": "US",
            "telephone_number": "910-277-9164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Cheraw St",
            "address_purpose": "LOCATION",
            "city": "Bennettsville",
            "state": "SC",
            "postal_code": "295122422",
            "country_code": "US",
            "telephone_number": "910-277-9164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "MARCELLA",
        "middle_name": "WILLIAMS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstanton297324@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "500 Lauchwood Dr",
            "city": "Laurinburg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283525501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.