Active NPI
Vanna Stotts Gold, D.O.
- Family Medicine Physician
- Lampasas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q2771
- Practice address
- 187 Private Road 4060
Lampasas, TX 76550 - Phone
- (512) 556-3621
- NPI assigned
- May 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | Q2771 | TX | Primary |
Addresses
Primary practice location
187 Private Road 4060
Lampasas, TX 76550
Mailing address
PO Box 1819
Lampasas, TX 76550-0015
Phone (512) 556-3621
Other practice location 1
2401 Walker Place Blvd Ste 300
Copperas Cove, TX 76522-4025
Phone (512) 556-3621
Other names 1
- Miss Vanna Marie Stotts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q2771 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Family Medicine Rural Health Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Adventhealth Family Medicine Rural Health Clinics, Inc. | Family Medicine | Past | Accepting new patients |
Locations
2401 Walker Place Blvd
Copperas Cove, TX 76522
Phone (254) 547-5516
2401 Walker Place Blvd
Ste 200
Copperas Cove, TX 76522
Phone (254) 547-5516
2401 Walker Place Blvd
Ste 300
Copperas Cove, TX 76522
Phone (254) 547-7777
187 Private Road 4060
Lampasas, TX 76550
Phone (512) 556-3621
Interoperability endpoints
- vgold1150078@adventhealth.direct-ci.com
- vanna.gold@fmc.directbygreenway.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lampasas, TX
- NPI 1861050569
-
- Rural Health Clinic/Center
- Copperas Cove, TX
- NPI 1699332338
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1669818910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1819",
"city": "LAMPASAS",
"state": "TX",
"postal_code": "765500015",
"telephone_number": "512-556-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 PRIVATE ROAD 4060",
"city": "LAMPASAS",
"state": "TX",
"postal_code": "76550",
"telephone_number": "512-556-3621"
}
],
"practiceLocations": [
{
"address_1": "2401 Walker Place Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Copperas Cove",
"state": "TX",
"postal_code": "765224025",
"country_code": "US",
"telephone_number": "512-556-3621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLD",
"first_name": "VANNA",
"middle_name": "STOTTS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q2771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANNA",
"last_name": "STOTTS",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lampasas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.