Active NPI
Stanly Medical Services
- Family Medicine Physician
- Albemarle, NC
National Provider Identifier
1730160367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- STANLY MEDICAL SERVICES
- Practice address
- 105 Yadkin St
Ste 301
Albemarle, NC 28001-3449 - Phone
- (704) 982-9144
- Fax
- (704) 982-6854
- NPI assigned
- Nov 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marindy Bost Harris
- Title
- Manager Revenue Cycle
- Phone
- (704) 983-7320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
105 Yadkin St
Ste 301
Albemarle, NC 28001-3449
Mailing address
320 Yadkin St
Ste B
Albemarle, NC 28001-3447
Phone (704) 983-7320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901061 | Medicaid | NC | |
| 01061 | Other | NC | BCBS |
Other names 1
- Albemarle Medical Services
National Provider Directory
National Provider DirectoryLocations
12925 Highway 601
Ste 300
Midland, NC 28107
Phone (704) 258-2444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374019200000",
"number": "1730160367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 YADKIN ST",
"address_2": "STE B",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013447",
"telephone_number": "704-983-7320",
"fax_number": "704-983-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 YADKIN ST",
"address_2": "STE 301",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013449",
"telephone_number": "704-982-9144",
"fax_number": "704-982-6854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLY MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-10",
"last_updated": "2013-07-17",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "MARINDY",
"authorized_official_middle_name": "BOST",
"authorized_official_title_or_position": "MANAGER REVENUE CYCLE",
"authorized_official_telephone_number": "704-983-7320"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901061",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01061",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Albemarle Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.