Individual provider Active NPI

Ian Patrick Stamp, M.D.

  • Internal Medicine Physician
  • Gastonia, NC
National Provider Identifier
1912965583
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9800706 Issued in NC
Practice address
2910 East Franklin Blvd
Suite 1
Gastonia, NC 28056-7225
Phone
(704) 648-0460
Fax
(855) 446-7146
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9800706 NC Primary

Addresses

Primary practice location

2910 East Franklin Blvd
Suite 1
Gastonia, NC 28056-7225

Mailing address

2910 East Franklin Blvd
Suite 1
Gastonia, NC 28056-7225
Phone (704) 648-0460

Other identifiers 2

IdentifierTypeStateIssuer
1912965583MedicaidNC
N1251439OtherNCMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ian.stamp.2@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040528001136 NC Practitioner - Internal Medicine 2567443021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Centerwell Senior Primary Care NC PCGroup PAC ID 2264708486, 17 clinicians

Practice addresses (Care Compare)

2910 E Franklin Blvd
Suite 1
Gastonia, NC 28056-7225
Phone (704) 648-0460

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NC) PC Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
Centerwell Senior Primary Care (NC), P.C. Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
Shelby Eye Centers, P.a. PastSince Jun 1, 2004 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2910 E Franklin Blvd
Ste 1
Gastonia, NC 28056
Phone (704) 648-0460

Interoperability endpoints

  • Direct secure messaging: ian.stamp@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: ian.stamp.2@29601.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1912965583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 EAST FRANKLIN BLVD",
            "address_2": "SUITE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567225",
            "telephone_number": "704-648-0460",
            "fax_number": "855-446-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 EAST FRANKLIN BLVD",
            "address_2": "SUITE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567225",
            "telephone_number": "704-648-0460",
            "fax_number": "855-446-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMP",
        "first_name": "IAN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9800706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912965583",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "N1251439",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ian.stamp.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2910 East Franklin Blvd",
            "address_2": "Suite 1",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280567225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.