Stonestar Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

STONESTAR HEALTH LLC

Practice address

131 Market PL
Montgomery, AL 36117-4900

Phone

(334) 538-9853

NPI assigned

Mar 27, 2023

Last updated

Jun 15, 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

Mr. Marcus DeramusNPI 1558075077

Title

Ceo

Phone

(334) 538-9853

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 4

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.

• Timika Lashaun Frazier, D.C.

  • Chiropractor
  • Marietta, GA
  • NPI 1972851152

  AL

  Medicare reassignment NPD
• Marcus James Deramus

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1558075077

  Multi-Specialty

  NPD Authorized official
• Tyeisha Fuller, PT, DPT

  • Physical Therapist
  • Prattville, AL
  • NPI 1376367888
  Medicare reassignment
• Amber Nicole Andrews, LPTA

  • Physical Therapy Assistant
  • Montgomery, AL
  • NPI 1154200285
  NPD

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1669175600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MARKET PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174900",
            "telephone_number": "334-538-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MARKET PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174900",
            "telephone_number": "334-538-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONESTAR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "DERAMUS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-538-9853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stonecreek Acquisitions, LLC (Stonecreek Dental Care)
• Stonecreek Acquistion, LLC (Stonecreek Dental-Montgomery 2)
• Stonecreek Dental of Alabama
• Stonecreek Dental of Alabama (Stonecreek Dental Care)
• Jessica Marie Stonehocker
• Stoot Speech Language Services
• Beverly A Stoudemire-Howlett, MD
• Ashley Harris Stough, NP
• Caroline Kimbrough Stough, M.C.D., CCC-SLP
• Henry K. Stough, LPC

• Clinic/Center in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.