Individual provider Active NPI

Carl Leland Stalvey, M.D.

  • Diagnostic Radiology Physician
  • Vidalia, GA
National Provider Identifier
1841452968
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
67441 Issued in GA
Practice address
407 Durden St
Vidalia, GA 30474-4600
Phone
(888) 545-5551
NPI assigned
Jun 30, 2008
Last updated
Nov 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 67441 GA Primary

Addresses

Primary practice location

407 Durden St
Vidalia, GA 30474-4600

Mailing address

407 Durden St
Vidalia, GA 30474-4600
Phone (888) 545-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130829000566 GA Practitioner - Diagnostic Radiology 4385887975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mercer University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Affiliated Services LLCGroup PAC ID 5496284028, 41 clinicians

Practice addresses (Care Compare)

4256 N Valdosta Rd
Valdosta, GA 31602-6814
Phone (229) 433-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67441GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC CurrentSince Jul 10, 2025 Accepting new patients
SGMC Physician Network Inc Current Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 5, 2013 Accepting new patients

Locations (25 of 62)

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

19 Doctors Way
Ste A
Blairsville, GA 30512

630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

101 Hartford Rd W
Ste 1
Fort Gaines, GA 39851
Phone (229) 210-2100

260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462

138 N College St
Hamilton, GA 31811
Phone (478) 776-4000

Organizations & group practices 3

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.

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1841452968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 DURDEN ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744600",
            "telephone_number": "888-545-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 DURDEN ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744600",
            "telephone_number": "888-545-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALVEY",
        "first_name": "CARL",
        "middle_name": "LELAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "67441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.