DR. JONATHAN K STOUDMIRE MD
NPI 1710959788
Psychiatry & Neurology - Psychiatry in Matthews, NC

Active since February 03, 2006PECOS Enrolled
3046 SENNA DR, SUITE B, MATTHEWS, NC 28105(704) 841-3886(704) 841-3889 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jonathan K Stoudmire Md NPPES

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

DR. JONATHAN K STOUDMIRE MD (NPI 1710959788) is an individual psychiatry provider in Matthews, North Carolina, licensed in North Carolina (200500827) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710959788
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JONATHAN K STOUDMIRECredential: MD
Location Address3046 SENNA DR, SUITE BMatthews, NC 28105-6726
Mailing Address3046 Senna Dr, Suite BMatthews, NC 28105-6726 · (704) 841-3886 · Fax (704) 841-3889
Fax(704) 841-3889
Sole ProprietorNo
Enumeration DateFebruary 3, 2006
Last NPPES UpdateJuly 11, 2011
✔ NPI 1710959788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 200500827
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3046 SENNA DR, Matthews, NC 28105

Other Identifiers 2

Medicaid5900927NC
Medicare UPINI09692NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan K Stoudmire Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathan Stoudmire reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

6.0 mi
Community/Behavioral Health
5700 EXECUTIVE CENTER DR, SUITE 110
Charlotte, NC 28212
  • Reassigned Medicare billing, North Carolina enrollment
  • 260 clinicians in this Medicare group
Community Based Residential Treatment Facility, Mental Illness
6135 PARK SOUTH DR
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Easter Seals Ucp North Carolina & Virginia, Inc.
  • 71 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3046 SENNA DR
MATTHEWS, NC 28105

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 Jonathan Stoudmire's NPI number?

The NPI number for Jonathan Stoudmire is 1710959788. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Jonathan Stoudmire located?

Jonathan Stoudmire practices at 3046 Senna Dr Suite B, Matthews, NC 28105. The listed phone number is (704) 841-3886.

What is Jonathan Stoudmire's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jonathan Stoudmire enrolled in Medicare?

Yes. Jonathan Stoudmire is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Stoudmire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Stoudmire reassigns Medicare benefits to 2 organizations: Monarch (Charlotte, NC) and Easter Seals Ucp North Carolina 7 Virginia (Charlotte, NC). Each 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 Jonathan Stoudmire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Stoudmire accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Jonathan Stoudmire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Stoudmire was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.