NPIMap

Individual provider Active NPI

Gregory Lee Stamper, DO

  • Internal Medicine Physician
  • Williston, FL
National Provider Identifier
1790765592
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS5742 Issued in FL
Practice address
130 SW 7TH St
Williston, FL 32696-2404
Phone
(352) 528-5801
Fax
(352) 528-6019
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS5742 FL Primary

Addresses

Primary practice location

130 SW 7TH St
Williston, FL 32696-2404

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other identifiers 2

IdentifierTypeStateIssuer
370388603MedicaidFL
80401OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000794 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 1850372889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

Practice addresses (Care Compare)

130 SW 7TH St
Williston, FL 32696-2404
Phone (352) 528-5801

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC CurrentSince Nov 15, 2023 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients
Lake City Medical Center Emergency Physicians, LLC Past Accepting new patients

Locations

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

130 SW 7th St
Williston, FL 32696
Phone (352) 528-5801

Interoperability endpoints

  • Direct secure messaging: gregory.stamper.1@27472.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1790765592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SW 7TH ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962404",
            "telephone_number": "352-528-5801",
            "fax_number": "352-528-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS5742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370388603",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, FL

Sources for this page

Verify at the official NPI Registry.