Active NPI
Charles Colin Stacy, M.D.
- Obstetrics & Gynecology Physician
- Allen, TX
National Provider Identifier
1710933262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- H0840
- Practice address
- 1105 Central Expy N
Suite 340
Allen, TX 75013-6103 - Phone
- (972) 747-5101
- Fax
- (972) 747-5103
- NPI assigned
- May 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | H0840 | TX | Primary |
Addresses
Primary practice location
1105 Central Expy N
Suite 340
Allen, TX 75013-6103
Mailing address
1105 Central Expy N
Suite 340
Allen, TX 75013-6103
Phone (972) 747-5101
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110524000382 | TX | Practitioner - Obstetrics/Gynecology | 0840476016 | Practice locations: Allen, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0840 | TX | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710933262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 CENTRAL EXPY N",
"address_2": "SUITE 340",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136103",
"telephone_number": "972-747-5101",
"fax_number": "972-747-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 CENTRAL EXPY N",
"address_2": "SUITE 340",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136103",
"telephone_number": "972-747-5101",
"fax_number": "972-747-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACY",
"first_name": "CHARLES",
"middle_name": "COLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "H0840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.