STACEY M. HUMPHREYS M.D – NPI #1861698128
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

STACEY HUMPHREYS is a physician located in COLUMBIA, SC. NPPES has assigned the NPI number 1861698128 to STACEY HUMPHREYS on June 25, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 7 years ago on May 20, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACEY HUMPHREYS below.

NPI Profile for
STACEY M. HUMPHREYS

NPI Number
1861698128
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACEY M. HUMPHREYS
Credentials
M.D
Primary location
9 RICHLAND MEDICAL PARK DR
STE 530
COLUMBIA, SC 29203
Phone: (803) 434-4603 Fax:
Mailing address
PO BOX 743904
ATLANTA, GA 30374-3904
Phone: (803) 296-7320 Fax: (803) 296-7330
Sole Proprietor
No
Updated
Identifiers

Identifiers for STACEY HUMPHREYS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSC373777
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)
SC 37377
208000000X
- Pediatrics
SC 37377

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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