NPIMap

Individual provider Active NPI

Stanley G Walsh, MD

  • Family Medicine Physician
  • Laurens, SC
National Provider Identifier
1891738423
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23601 Issued in SC
Practice address
22580 Highway 76 E
Suite 100
Laurens, SC 29360-8439
Phone
(864) 833-5986
Fax
(864) 833-0599
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23601 SC Primary

Addresses

Primary practice location

22580 Highway 76 E
Suite 100
Laurens, SC 29360-8439

Mailing address

22580 Highway 76 E
Suite 100
Laurens, SC 29360-8439
Phone (864) 833-5986

Other identifiers 1

IdentifierTypeStateIssuer
236015MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swalsh127296@selfregional.direct-ci.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000582 SC Practitioner - Family Practice 3678589314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians

Practice addresses (Care Compare)

160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090

22580 Hwy 76 E
Suite 100
Laurens, SC 29360-8460
Phone (864) 833-5986

Hospital & facility affiliations

  • Amedisys Home Health of Clinton Home health agency, Clinton, SC, CCN 427116
  • Home Health Services of Self Regional Healthcare Home health agency, Greenwood, SC, CCN 427018
  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071
  • Prisma Health Laurens County Hospital Hospital, Clinton, SC, CCN 420038
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Presbyterian Communities Of South Carolina- Clinto Nursing home, Clinton, SC, CCN 425393

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare CurrentSince Oct 1, 2025 Accepting new patients
Self Medical Group Family Medicine CurrentSince Apr 1, 2013 Accepting new patients
Self Regional Healthcare Family Medicine Current Accepting new patients
Self Regional Healthcare Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Self Medical Group CurrentSince Apr 1, 2013 Accepting new patients
Self Medical Group Current Accepting new patients
The Family Healthcare Center Family Medicine Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients
Self Regional Healthcare Family Medicine Past Accepting new patients

Locations

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

23013 Highway 76 E
Clinton, SC 29325
Phone (864) 227-6371

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

22580 Highway 76 E
Ste 100
Laurens, SC 29360
Phone 8648335986 ext. 54673

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Organizations & group practices 9

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1891738423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22580 HIGHWAY 76 E",
            "address_2": "SUITE 100",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293608439",
            "telephone_number": "864-833-5986",
            "fax_number": "864-833-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22580 HIGHWAY 76 E",
            "address_2": "SUITE 100",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293608439",
            "telephone_number": "864-833-5986",
            "fax_number": "864-833-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "STANLEY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236015",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swalsh127296@selfregional.direct-ci.net",
            "affiliation": "N",
            "address_1": "22580 Highway 76 E",
            "address_2": "Suite 100",
            "city": "Laurens",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293608439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurens, SC

Sources for this page

Verify at the official NPI Registry.