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STOVALL MEDICAL CENTER
NPI 1255565313
Family Medicine in Stovall, NC

Active since May 05, 2009
100 DURHAM STREET, STOVALL, NC 27582(919) 690-8880(919) 690-8882 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stovall Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STOVALL MEDICAL CENTER (NPI 1255565313) is a healthcare organization registered as a family medicine in Stovall, North Carolina and active in the NPI registry since May 2009. The organization lists Georgeen Ertischek, Adm Director, as its authorized official.

NPPES Registry Identity

NPI1255565313
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRANVILLE HEALTH INC
Location Address100 DURHAM STREETStovall, NC 27582
Mailing AddressPo Box 986Oxford, NC 27565-0986 · (919) 690-8880 · Fax (919) 690-8882
Phone(919) 690-8880
Fax(919) 690-8882
Organization SubpartNo
Authorized OfficialGeorgeen ErtischekAdm Director · (919) 690-3280
Enumeration DateMay 5, 2009
Last NPPES UpdateOctober 30, 2013
✔ NPI 1255565313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
100 DURHAM STREET, Stovall, NC 27582
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Other Names 1

Doing Business AsStovall Medical Center

Other Identifiers 2

Medicare PIN2347346BNC
Medicaid5912213NC

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stovall Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Stovall Medical Center, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Richard Pacca, M.D.
Cardiovascular Disease (Cardiology)
NPI 1619189057
103 PROFESSIONAL PARK STE C
Oxford, NC 27565
(919) 690-8853
✔ PECOS✔ Accepts Medicare8.6 mi
Shanna Sprinkle, MD, MPH
General Surgery
NPI 1235574195
101 PROFESSIONAL PARK STE B
Oxford, NC 27565
(919) 603-0368
✔ PECOS✔ Accepts Medicare8.6 mi
Joseph Zola, MD
Urology
NPI 1790973915
102 PROFESSIONAL PARK SUITE C
Oxford, NC 27565
(919) 690-0435
✔ PECOS✔ Accepts Medicare8.6 mi
Richard Alexander, MD, PHD, MBA
Otolaryngology
NPI 1679890917
102 PROFESSIONAL PARK STE C
Oxford, NC 27565
(919) 692-0003
✔ PECOS✔ Accepts Medicare8.6 mi
Shane Hodge, D.O.
General Surgery
NPI 1548498975
102 PROFESSIONAL PARK STE C
Oxford, NC 27565
(919) 603-0368
✔ PECOS✔ Accepts Medicare8.6 mi
Naveen Kumar, MD
General Surgery
NPI 1700142593
102 PROFESSIONAL PARK STE C
Oxford, NC 27565
(919) 603-0368
✔ PECOS✔ Accepts Medicare8.6 mi
Jennifer Sundberg, AUD
Qualified Audiologist
NPI 1346680147
508 FULTON ST AUDIOLOGY DEPARTMENT
Durham, NC 27705
(919) 286-6961
✔ Accepts Medicare37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Granville Health Inc's NPI number?

The NPI number for Granville Health Inc is 1255565313. It was assigned to this organization in the NPPES registry on May 5, 2009. The provider is doing business as Stovall Medical Center.

Where is Granville Health Inc located?

Granville Health Inc is located at 100 Durham Street, Stovall, NC 27582. The listed phone number is (919) 690-8880.

What is Granville Health Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Granville Health Inc enrolled in Medicare?

Yes. Granville Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Granville Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Granville Health Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (3), Cardiovascular Disease (Cardiology) (1) and Otolaryngology (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Granville Health Inc was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.