Organization Active NPI

Stanly Medical Services

  • Family Medicine Physician
  • Troy, NC
National Provider Identifier
1750362802
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STANLY MEDICAL SERVICES
Practice address
835 Albemarle Rd
Troy, NC 27371-8682
Phone
(910) 572-2309
Fax
(910) 572-3655
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X

Addresses

Primary practice location

835 Albemarle Rd
Troy, NC 27371-8682

Mailing address

320 Yadkin St
Suite B
Albemarle, NC 28001-3447
Phone (704) 983-7320

Other identifiers 2

IdentifierTypeStateIssuer
0276AOtherNCBCBS
890276AMedicaidNC

Other names 1

  • Troy Medical Services Doing business as

National Provider Directory

National Provider Directory

Locations

11115 Golf Links Dr
Ste B
Charlotte, NC 28277
Phone (704) 667-0080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1750362802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 YADKIN ST",
            "address_2": "SUITE 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": "835 ALBEMARLE RD",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273718682",
            "telephone_number": "910-572-2309",
            "fax_number": "910-572-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "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 MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0276A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890276A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, 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.

Verify at the official NPI Registry.