Active NPI
Stanly Neurology, Inc.
- Specialist
- Albemarle, NC
National Provider Identifier
1932135498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 99-00131
- Legal business name
- STANLY NEUROLOGY, INC.
- Practice address
- 923 N 2ND St
Ste 102
Albemarle, NC 28001-3369 - Phone
- (704) 982-0122
- Fax
- (704) 982-0125
- NPI assigned
- Jun 24, 2006
- Last updated
- Jun 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David William Schmidt, M.D.
- Title
- President
- Phone
- (704) 982-0122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 99-00131 | NC | Primary |
Addresses
Primary practice location
923 N 2ND St
Ste 102
Albemarle, NC 28001-3369
Mailing address
923 N 2ND St
Ste 102
Albemarle, NC 28001-3369
Phone (704) 982-0122
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2318699 | Other | NC | MEDICARE GROUP PTAN |
| 046373 | Other | NC | MCKESSON SUBMITTER NUMBER |
| 1185T | Other | NC | BLUE CROSS PROVIDER # |
| 99-00131 | Other | NC | NC MEDICAL LICENSE NUMBER |
| 891185T | Medicaid | NC | |
| P00071547 | Other | NC | RETIRED RAILROAD NUMBER |
National Provider Directory
National Provider DirectoryLocations
923 N 2nd St
Ste 102
Albemarle, NC 28001
Phone (704) 982-0122
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Albemarle, NC
- NPI 1376737437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244419200000",
"number": "1932135498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 N 2ND ST",
"address_2": "STE 102",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013369",
"telephone_number": "704-982-0122",
"fax_number": "704-982-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 N 2ND ST",
"address_2": "STE 102",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013369",
"telephone_number": "704-982-0122",
"fax_number": "704-982-0125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLY NEUROLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2009-06-08",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-982-0122",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "99-00131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "2318699",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCKESSON SUBMITTER NUMBER",
"identifier": "046373",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "1185T",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL LICENSE NUMBER",
"identifier": "99-00131",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891185T",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETIRED RAILROAD NUMBER",
"identifier": "P00071547",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
- Stanly Medical Services (Albemarle Medical Services)
- Stanly Medical Services (Stanly Surgical Weight Loss Center)
- Stanly Medical Services, Inc (Stanly Urology Services)
- Stanly Medical Services, Inc.
- Stanly Memorial Hospital Inc (Stanly Regional Medical Center)
- Stanly Orthopaedic and Hand Surgery Clinic, PA
- Stanly Regional Medical Center
- Stanly Regional Medical Center
- Stanly Regional Medical Center
- Stanly Regional Medical Center (Albemarle Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.