Individual provider Active NPI

Laura Jenelle Stabin, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Montgomery, AL
National Provider Identifier
1699035782
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD.36952 Issued in AL
Practice address
400 Taylor Rd
Montgomery, AL 36117
Phone
(334) 277-8330
NPI assigned
May 22, 2012
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C3567 KY
Neonatal-Perinatal Medicine Physician 2080N0001X MD.36952 AL Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 01095593A IN
Neonatal-Perinatal Medicine Physician 2080N0001X C3567 KY

Addresses

Primary practice location

400 Taylor Rd
Montgomery, AL 36117

Mailing address

8601 Harvest Ridge Dr
Montgomery, AL 36116-6668
Phone (615) 300-9689

Other practice location 1

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (502) 588-0982

Other practice location 2

3900 Washington Ave
Evansville, IN 47714-0550
Phone (812) 485-4000

Other identifiers 3

IdentifierTypeStateIssuer
7101056920MedicaidKY
01095593AOtherININDIANA MEDICAL LICENSE
300102673MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250207000576 IN Practitioner - Pediatric Medicine 2163952078 Reassigns benefits to 1 organization
I20251103000245 KY Practitioner - Pediatric Medicine 2163952078 Reassigns benefits to 1 organization
I20251231000897 MS Practitioner - Pediatric Medicine 2163952078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1951 Bishop LN
FL 4
Louisville, KY 40218-1923

7259 S Bingham Junction Blvd
Midvale, UT 84047-4860

8601 Harvest Ridge Dr
Montgomery, AL 36116-6668

PO Box
Suite 776879
Chicago, IL 60677-6879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C3567KYMDPediatrics Physician
MD.36952ALMDNeonatal-Perinatal Medicine Physician
01095593AINMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties Pediatrics CurrentSince Mar 21, 2025 Accepting new patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Dec 1, 2025 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Wesley Physician Services LLC Pediatrics CurrentSince Oct 19, 2025 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Dec 1, 2025 Accepting new patients
St Vincent Pediatric Subspecialties Pediatrics CurrentSince Mar 21, 2025 Accepting new patients
Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients

Locations

3900 Washington Ave
Evansville, IN 47714
Phone (812) 485-7425

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
  • Direct secure messaging: laurastabin@nmhs.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1699035782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 HARVEST RIDGE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166668",
            "telephone_number": "615-300-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-277-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 N Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012503",
            "country_code": "US",
            "telephone_number": "502-588-0982",
            "fax_number": "502-588-0987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140550",
            "country_code": "US",
            "telephone_number": "812-485-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STABIN",
        "first_name": "LAURA",
        "middle_name": "JENELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "C3567",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AL",
            "license": "MD.36952",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "01095593A",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "C3567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101056920",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA MEDICAL LICENSE",
            "identifier": "01095593A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300102673",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.