Individual provider Active NPI

Stephen L Farris, MD

  • Diagnostic Radiology Physician
  • Hickory, NC
National Provider Identifier
1821023813
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
200701004 Issued in NC
Practice address
18 13TH Ave NE
Hickory, NC 28603-0308
Phone
(828) 322-2644
Fax
(828) 327-2235
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 227476 MA
Diagnostic Radiology Physician 2085R0202X 200701004 NC Primary

Addresses

Primary practice location

18 13TH Ave NE
Hickory, NC 28603-0308

Mailing address

PO Box 308
Hickory, NC 28603-0308
Phone (828) 322-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070828001085 NC Practitioner - Diagnostic Radiology 5193817658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227476MAMDDiagnostic Radiology Physician
200701004NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Radiological Associates, Inc. Diagnostic Radiology CurrentSince Sep 1, 2007 Accepting new patients
Caldwell Memorial Hospital Inc. Diagnostic Radiology PastSince Jan 1, 2021 Accepting new patients

Locations

18 13th Ave NE
Hickory, NC 28601
Phone (828) 322-2644

Interoperability endpoints

  • Direct secure messaging: sfarris107803@direct.unc.nchie.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1821023813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286030308",
            "telephone_number": "828-322-2644",
            "fax_number": "828-327-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 13TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286030308",
            "telephone_number": "828-322-2644",
            "fax_number": "828-327-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "227476",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200701004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.