Active NPI
Gary R Stern, MD
- Cardiovascular Disease Physician
- Jesup, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 072453
- Practice address
- 111 Colonial Way
Jesup, GA 31545-0130 - Phone
- (912) 427-8177
- Fax
- (912) 427-8365
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 174275 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 072453 | GA | Primary |
Addresses
Primary practice location
111 Colonial Way
Jesup, GA 31545-0130
Mailing address
320 Peachtree St
Jesup, GA 31545-0244
Phone (912) 427-7790
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003150982A | Medicaid | GA | |
| P00272416 | Other | NY | CHS RAILROAD MEDICARE |
| 01420593 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Maryland School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Memorial Dr
Jesup, GA 31545-0124
Phone (912) 427-7790
865 S 1St St
Jesup, GA 31545-0210
930 S 1St St
Jesup, GA 31545-0202
Phone (912) 427-7790
Hospital & facility affiliations
- Wayne Memorial Hospital
- St Joseph'S Hospital - Savannah
- Southeast Georgia Health System- Brunswick Campus
- Candler Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072453 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Wayne County Georgia | Current | Accepting new patients | |
| Wayne SJC Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Hospital Authority of Wayne County Georgia | Cardiovascular Disease | Current | Accepting new patients |
| Wayne SJC Medical Group, LLC | Current | Accepting new patients | |
| Mobile Diagnostic Testing Services Inc | Past | Accepting new patients | |
| Hospital Authority of Wayne County Georgia | Past | Accepting new patients |
Locations
125 Memorial Dr
Ste B
Jesup, GA 31545
865 N 1St St
Jesup, GA 31545
Phone (912) 427-6811
111 Colonial Way
Ste 3
Jesup, GA 31545
Phone (912) 427-8365
320 Peachtree St
Jesup, GA 31545
Phone (912) 521-8039
930 S 1st St
Jesup, GA 31545
Phone (912) 385-2702
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDDICA
- gary.stern@waynesjc.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Otolaryngology Physician
- Jesup, GA
- NPI 1538421177
Cardiovascular Disease
-
- Certified Registered Nurse Anesthetist
- Jesup, GA
- NPI 1366506222
-
- Home Health Agency
- Jesup, GA
- NPI 1699779405
Cardiovascular Disease
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1851730626
-
- Hospitalist Physician
- Jesup, GA
- NPI 1275703985
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Buffalo, NY
- NPI 1902916448
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1700812633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 PEACHTREE ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315450244",
"telephone_number": "912-427-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLONIAL WAY",
"city": "JESUP",
"state": "GA",
"postal_code": "315450130",
"telephone_number": "912-427-8177",
"fax_number": "912-427-8365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "GARY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "174275",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "072453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003150982A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHS RAILROAD MEDICARE",
"identifier": "P00272416",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01420593",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jesup, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.