Warren Keith Stafford, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23690 Issued in SC

Practice address

206A S Main St
Greer, SC 29650-2127

Phone

(864) 989-0230

Fax

(864) 334-1880

NPI assigned

Dec 13, 2005

Last updated

Dec 6, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Reliant Geriatrics, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Greenville, SC
  • NPI 1922080787
  NPD (past)
• Warren Keith Stafford, M.D.

  dba Cornerstone Family Medicine

  • Family Medicine Physician
  • Greer, SC
  • NPI 1285902106
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1992780878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 WERTMAN RD",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511820",
            "telephone_number": "484-553-3286",
            "fax_number": "484-214-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206A S MAIN ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502127",
            "telephone_number": "864-989-0230",
            "fax_number": "864-334-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "WARREN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236907",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spartanburg Regional Medical Ctr (Regional Psychiatry At Village of Pelham)
• Sports Spine & Industrial, Inc.
• Juhi Srivastava
• St. Francis Physician Services Inc (Doctors Family Medicine)
• St. Francis Physician Services Inc (Mountain View Family Medicine)
• Christopher Matthew Stallings
• Ellen M Stanbach, FNP
• Rachel Stanford
• John Thomas Stanton, M.D.
• Kristen Landy Starnes

• Family Medicine Physician in Greer, SC
• Providers in Greer, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.