Individual provider Active NPI

Michael Shane Stalvey, MD

  • Pediatric Endocrinology Physician
  • Winston Salem, NC
National Provider Identifier
1710085782
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
2021-02006 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-1711
Phone
(336) 713-4500
Fax
(336) 713-4501
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 2021-02006 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-1711

Mailing address

2725 4TH Ave S Unit 4E
Birmingham, AL 35233-2734
Phone (205) 915-5626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20111020000597 AL Practitioner - Pediatric MedicinePractitioner - Endocrinology 0648347088 Reassigns benefits to 1 organization
I20220222001799 NC Practitioner - Pediatric Medicine 0648347088 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Pediatrics Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Nov 16, 2021 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jan 15, 2025 Accepting new patients
Moses Cone Physician Services, Inc. Pediatric Endocrinology CurrentSince Jan 15, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Nov 16, 2021 Accepting new patients

Locations

11 Vanderbilt Park Dr
Asheville, NC 28803
Phone (828) 213-1780

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: mstalvey2792207@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: mstalvey131997@direct.nemours.org

Organizations & group practices 7

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1710085782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 4TH AVE S UNIT 4E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332734",
            "telephone_number": "205-915-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571711",
            "telephone_number": "336-713-4500",
            "fax_number": "336-713-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALVEY",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NC",
            "license": "2021-02006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.