Individual provider Active NPI

Vanna Stotts Gold, D.O.

  • Family Medicine Physician
  • Lampasas, TX
National Provider Identifier
1669818910
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q2771 Issued in TX
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

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302000204 TX Practitioner - Family Practice 2567767437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q2771TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Family Medicine Rural Health Clinics, Inc. Family Medicine CurrentSince Sep 1, 2019 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

  • Direct secure messaging: vgold1150078@adventhealth.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.