Individual provider Active NPI

Jamilla C Stone, MD

  • Family Medicine Physician
  • San Marcos, TX
National Provider Identifier
1932337029
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P6282 Issued in TX
Practice address
1320 Wonder World Dr Ste 101
San Marcos, TX 78666-7558
Phone
(512) 396-3911
Fax
(512) 353-0807
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 P6282 TX Primary

Addresses

Primary practice location

1320 Wonder World Dr Ste 101
San Marcos, TX 78666-7558

Mailing address

1320 Wonder World Dr Ste 101
San Marcos, TX 78666-7558
Phone (512) 396-3911

Other identifiers 3

IdentifierTypeStateIssuer
327868103MedicaidTX
317650YMG2OtherMEDICARE
P01880939OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131108001448 TX Practitioner - Family Practice 1052568102 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers of South Central Texas PLLCGroup PAC ID 7911337472, 27 clinicians

Practice addresses (Care Compare)

5781 Kyle Pkwy
Suite 100
Kyle, TX 78640-6744
Phone (512) 988-5355

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors Family Medicine Current Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Seton Family of Doctors Family Medicine CurrentSince Feb 1, 2014 Accepting new patients
VMD Primary Providers of South Central Texas PLLC Family Medicine CurrentSince Oct 11, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2021 Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

5781 Kyle Pkwy
Ste 100
Kyle, TX 78640

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

130 Hays St
Ste D
Luling, TX 78648
Phone (830) 875-3445

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

1320 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 392-1700

1340 Wonder World Dr
Ste 4301
San Marcos, TX 78666
Phone (512) 353-6400

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jamilla.stone.1@13711.direct.athenahealth.com

Organizations & group practices 7

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 6

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1932337029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667558",
            "telephone_number": "512-396-3911",
            "fax_number": "512-353-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667558",
            "telephone_number": "512-396-3911",
            "fax_number": "512-353-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JAMILLA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P6282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327868103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "317650YMG2",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01880939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.