Casey Christopher Stanford, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

29424 Issued in MS

Practice address

5192 Main St
Lucedale, MS 39452-6771

Phone

(601) 947-0250

Fax

(601) 947-0103

NPI assigned

Apr 22, 2020

Last updated

Apr 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Stanford Clinic LLC

  • General Practice Physician
  • Lucedale, MS
  • NPI 1225979826
  NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1992325740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5192 MAIN ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526771",
            "telephone_number": "601-947-0250",
            "fax_number": "601-947-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5192 MAIN ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526771",
            "telephone_number": "601-947-0250",
            "fax_number": "601-947-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "CASEY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "29424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Kennedy Smith
• Lauren H Smith, PT
• Southern Sound Diagnostics
• Southerncare, Inc. (SouthernCare Lucedale)
• Stanford Clinic LLC
• Rollie Demetrius Steele, M.D.
• Natalia Angelia Stevenson-Harris, FNP
• Gaye Stewart-Damron, PT
• Lori Wicker Stokes
• Rebecca C Stokes, PT

• General Practice Physician in Lucedale, MS
• Providers in Lucedale, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.