Individual provider Active NPI

Stacy Towles-Moore, MD

  • Internal Medicine Physician
  • Anniston, AL
National Provider Identifier
1992710743
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14423 Issued in AL
Practice address
1316 Noble St
Anniston, AL 36201-4643
Phone
(256) 492-0131
NPI assigned
Jul 30, 2006
Last updated
Mar 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14423 AL Primary
Internal Medicine Physician 207R00000X 18858 MS

Addresses

Primary practice location

1316 Noble St
Anniston, AL 36201-4643

Mailing address

PO Box 97
Gadsden, AL 35902-0097
Phone (256) 492-0131

Other identifiers 3

IdentifierTypeStateIssuer
511-14627(ANNISTON)OtherALBLUE CROSS
125268MedicaidAL
8589530MedicaidMS

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
I20090810000334 AL Practitioner - Internal Medicine 0749241412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 Spring N St
Talladega, AL 35160-2040
Phone (256) 492-0131

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Nov 1, 2013 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Nov 1, 2013 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Amory Hma Physician Management LLC Internal Medicine Past Accepting new patients
Quality of Life Health Services Inc Past Accepting new patients

Locations

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

47344 US Highway 78
Lincoln, AL 35096
Phone (205) 763-7848

48 N Cedars Rd
Munford, AL 36268
Phone (205) 358-4553

110 Spring St N
Talladega, AL 35160
Phone (256) 315-1697

Interoperability endpoints

  • Direct secure messaging: stowlesmoore333161@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1992710743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097",
            "telephone_number": "256-492-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 NOBLE ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014643",
            "telephone_number": "256-492-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWLES-MOORE",
        "first_name": "STACY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "14423",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "18858",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-14627(ANNISTON)",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125268",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8589530",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.