Individual provider Active NPI

Cody Stauffer-Macdowell

  • Emergency Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1801242532
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
218176 Issued in NC
Practice address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone
(984) 974-7835
NPI assigned
May 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 218176 NC Primary

Addresses

Primary practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Mailing address

329 Red Fox Cir
Asheville, NC 28803-3382

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190530000430 FL Practitioner - Emergency Medicine 0042501082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JC Edwards School of Medicine, Marshall University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastline Emergency Physicians LLCGroup PAC ID 2466633821, 18 clinicians

Practice addresses (Care Compare)

601 Main St
Dunedin, FL 34698-5848
Phone (954) 939-5000

Hospital & facility affiliations

  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218176NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Emergency Physicians LLC Emergency Medicine CurrentSince Mar 13, 2019 Accepting new patients
Coastline Emergency Physicians LLC Emergency Medicine CurrentSince Mar 13, 2019 Accepting new patients

Locations

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

5565 Centerview Dr
Ste 107
Raleigh, NC 27606
Phone (213) 484-7111

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1801242532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 RED FOX CIR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER-MACDOWELL",
        "first_name": "CODY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "218176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.