Individual provider Active NPI

Andrew Edward Stock, M.D.

  • General Practice Physician
  • Oxford, NC
National Provider Identifier
1952404170
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
200601213 Issued in NC
Practice address
103 Professional Park Ste a
Oxford, NC 27565-2581
Phone
(919) 693-7108
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200601213 NC
Family Medicine Physician 207Q00000X 48660020 WI
General Practice Physician 208D00000X 200601213 NC Primary

Addresses

Primary practice location

103 Professional Park Ste a
Oxford, NC 27565-2581

Mailing address

103 Professional Park Ste a
Oxford, NC 27565-2581
Phone (919) 693-7108

Other identifiers 2

IdentifierTypeStateIssuer
5908104MedicaidNC
145AHOtherNCBCBS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060220000046 WI Practitioner - Family Practice 3779598362 Reassigns benefits to 1 organization
I20080220000534 NC Practitioner - General PracticePractitioner - Family Practice 3779598362 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48660020WIMDFamily Medicine Physician
200601213NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Feb 1, 2022 Accepting new patients
Aes Medical PC CurrentSince Oct 24, 2022 Accepting new patients
Dorrance Chiropractic Center Inc CurrentSince Nov 25, 2022 Accepting new patients
Crossroads Family Chiropractic Past Accepting new patients
D Michael Mahan MD PA Family Medicine Past Accepting new patients

Locations

820 S Garnett St
Henderson, NC 27536
Phone (252) 431-1700

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Organizations & group practices 5

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1952404170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROFESSIONAL PARK STE A",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652581",
            "telephone_number": "919-693-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROFESSIONAL PARK STE A",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652581",
            "telephone_number": "919-693-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200601213",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "48660020",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "200601213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908104",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "145AH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.