Individual provider Active NPI

Stewart Hill Tankersley, MD

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1952375917
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACSC00023941 Issued in AL
Practice address
4154 Carmichael CT
Montgomery, AL 36106-2871
Phone
(334) 593-0193
Fax
(334) 593-1693
NPI assigned
Feb 15, 2006
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 ACSC00023941 AL Primary

Addresses

Primary practice location

4154 Carmichael CT
Montgomery, AL 36106-2871

Mailing address

2432 Hawthorn Dr
Montgomery, AL 36111-1617
Phone (334) 538-9695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040312001022 AL Practitioner - Family PracticePractitioner - Geriatric Medicine 2769371103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Alabama School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4154 Carmichael CT
Montgomery, AL 36106-2871
Phone (334) 593-0193

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACSC00023941ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Family Medicine Current Accepting new patients
Stewart H Tankersley, MD, LLC CurrentSince Sep 17, 2012 Accepting new patients
Inpatient Consultants of Alabama, Inc CurrentSince May 13, 2015 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Jul 4, 2011 Accepting new patients
Jackson Hospital and Clinic, Inc. CurrentSince Jul 4, 2011 Accepting new patients
John K.L. Porter, D.O., PC PastSince Mar 1, 2020 Accepting new patients
William O. Sargeant PC Family Medicine PastSince Jan 26, 2020 Accepting new patients
DRS. Highley & Cox P.C. Family Medicine Past Accepting new patients

Locations

300 Medical Center Dr
Clanton, AL 35045
Phone (205) 755-4960

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

735 S Washington Ave
Mobile, AL 36603
Phone (251) 433-2642

1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1758 Park Pl
Ste 200
Montgomery, AL 36106
Phone (334) 538-9695

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

4154 Carmichael Ct
Montgomery, AL 36106
Phone (334) 538-9695

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1952375917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 HAWTHORN DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361111617",
            "telephone_number": "334-538-9695",
            "fax_number": "334-593-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 CARMICHAEL CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062871",
            "telephone_number": "334-593-0193",
            "fax_number": "334-593-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKERSLEY",
        "first_name": "STEWART",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "ACSC00023941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.