Active NPI
Monica Renner Stone, M.D.
- Specialist
- Thomaston, GA
National Provider Identifier
1730143942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 035273
- Practice address
- 1297 S Green St
Thomaston, GA 30286-4618 - Phone
- (706) 647-1803
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 035273 | GA | Primary |
Addresses
Primary practice location
1297 S Green St
Thomaston, GA 30286-4618
Mailing address
1297 S Green St
Thomaston, GA 30286-4618
Phone (706) 647-1803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930830982A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1730143942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1297 S GREEN ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302864618",
"telephone_number": "706-647-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 S GREEN ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302864618",
"telephone_number": "706-647-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "MONICA",
"middle_name": "RENNER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "035273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "930830982A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.