Stanton James Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33309 Issued in NC

Practice address

5113 Piper Station Dr
Suite 207
Charlotte, NC 28277-6689

Phone

(704) 541-5200

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Psychiatry

Education

Other, 1980

Medicare assignment

May accept Medicare assignment

Group practices

Dream Provider Care Services 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dream Provider Care Services

  • Mental Health Counselor
  • Washington, NC
  • NPI 1912952672

  NC

  Medicare reassignment Care Compare group NPD
• Rha Health Services Inc

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1447376306

  NC

  Medicare reassignment NPD
• It'S Your Move

  • Primary Care Clinic/Center
  • Columbia, SC
  • NPI 1568114999

  NC

  Medicare reassignment NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Yanceyville, NC
  • NPI 1629489307
  NPD
• Rha Health Services, Inc.

  • Community/Behavioral Health Agency
  • High Point, NC
  • NPI 1316149743
  NPD
• D Duncan Sumpter, P.C.,

  • Community/Behavioral Health Agency
  • Murphy, NC
  • NPI 1699799205
  NPD (past)
• Greenville Health System

  • General Acute Care Hospital
  • Simpsonville, SC
  • NPI 1679992838
  NPD (past)
• It'S Your Move

  • Counselor
  • Columbia, SC
  • NPI 1396214987
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1679546451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PEE DEE AVE",
            "address_2": "SUITE A",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014932",
            "telephone_number": "704-986-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR",
            "address_2": "SUITE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776689",
            "telephone_number": "704-541-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STANTON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "33309",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "33309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890573G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley V Smith
• Shelly Roberta Smith, BSN, RN
• Sherry Finley Smith, FNP
• Shirley J Smith, LCSW
• Stacey Renee Smith
• Stefanie Smith
• Stephanie Smith, BCBA
• Stephanie Denise Smith, LPN
• Stephen Lee Smith, OD
• Steven W Smith, CRNA

• All providers in Charlotte, NC
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.