Individual provider Active NPI

Gregory Alan Stancel, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Kingsport, TN
National Provider Identifier
1881897379
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
53893 Issued in TN
Practice address
130 W Ravine Rd
Department of Pathology
Kingsport, TN 37660-3837
Phone
(423) 224-6711
Fax
(423) 224-6717
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 53893 TN Primary

Addresses

Primary practice location

130 W Ravine Rd
Department of Pathology
Kingsport, TN 37660-3837

Mailing address

2175 Highway 75
Suite 4
Blountville, TN 37617-5860
Phone (423) 323-5290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160628001581 TN Practitioner - Pathology 8820389513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Pathology Consultants, P.C.Group PAC ID 3173515715, 6 clinicians

Practice addresses (Care Compare)

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-6700

Hospital & facility affiliations

  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Pathology Consultants, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Jun 27, 2016 Accepting new patients
Highlands Pathology Consultants, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Jun 27, 2016 Accepting new patients
Laboratory Corporation of America Holdings Past Accepting new patients

Locations

2175 Highway 75
Ste 4
Blountville, TN 37617

1918 W State St
Bristol, TN 37620
Phone (423) 764-3191

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

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 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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1881897379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 HIGHWAY 75",
            "address_2": "SUITE 4",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376175860",
            "telephone_number": "423-323-5290",
            "fax_number": "423-323-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W RAVINE RD",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603837",
            "telephone_number": "423-224-6711",
            "fax_number": "423-224-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCEL",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "53893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.