Individual provider Active NPI

Stanley Gant Unfried

  • Adult Medicine Physician
  • Daphne, AL
National Provider Identifier
1851978530
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
L.5528R Issued in AL
Practice address
27961 US Highway 98 Ste 14
Daphne, AL 36526-4725
Phone
(251) 626-1175
NPI assigned
Mar 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L.5528R AL
Student in an Organized Health Care Education/Training Program 390200000X
Adult Medicine Physician 207QA0505X L.5528R AL Primary

Addresses

Primary practice location

27961 US Highway 98 Ste 14
Daphne, AL 36526-4725

Mailing address

27961 US Highway 98 Ste 14
Daphne, AL 36526-4725

Other practice location 1

2451 University Hospital Dr Rm 714
Mobile, AL 36617-2300
Phone (251) 434-3475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240802003340 AL Practitioner - Family Practice 1850797135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Eastern Shore Family Practice LLCGroup PAC ID 7315218450, 6 clinicians

Practice addresses (Care Compare)

27961 US Hwy 98
Suite 14
Daphne, AL 36526-4725
Phone (251) 626-1175

Hospital & facility affiliations

  • Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
  • Centerwell Home Health Home health agency, Daphne, AL, CCN 017058
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Family Practice PC Family Medicine CurrentSince Jun 30, 2024 Accepting new patients
Imc-Eastern Shore Family Practice LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

27961 US Highway 98
Ste 14
Daphne, AL 36526
Phone (251) 626-1175

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 3

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": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1851978530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27961 US HIGHWAY 98 STE 14",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27961 US HIGHWAY 98 STE 14",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264725",
            "telephone_number": "251-626-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 University Hospital Dr Rm 714",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172300",
            "country_code": "US",
            "telephone_number": "251-434-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNFRIED",
        "first_name": "STANLEY",
        "middle_name": "GANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.5528R",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AL",
            "license": "L.5528R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.