George C Stacey Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5034 Issued in AL

Practice address

938 Forrest Ave
Gadsden, AL 35901-3623

Phone

(256) 546-4947

Fax

(256) 546-8846

NPI assigned

Jan 30, 2008

Last updated

Jan 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• George C. Stacey, Jr. D.M.D. Family Denistry P.C.

  • Dentist
  • Gadsden, AL
  • NPI 1679688923
  NPD (past) Authorized official

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1821275975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013623",
            "telephone_number": "256-546-4947",
            "fax_number": "256-546-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013623",
            "telephone_number": "256-546-4947",
            "fax_number": "256-546-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACEY",
        "first_name": "GEORGE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AL",
            "identifier": "515-02634",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Homer Andrew Spencer, MD
• Sam P. Spina, N.B.C.-H.I.S.
• Seth Gerard Spotnitz, MD
• Robert Spruiell, DMD
• Mark Spurlock, LMFT
• Jennifer Stapp, RPH
• State of Alabama
• State of Alabama Department of Public Health (Etowah County Home Care)
• State of Alabama Department of Public Health (Etowah County Health Dept Flu-Pneu)
• State of Alabama Department of Public Health (Etowah County Home Care)

• Dentist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.