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DR. JASON JOHN STACY M.D.
NPI 1831164334
Family Medicine in Columbia, SC

Active since February 20, 2006
3209 COLONIAL DR, COLUMBIA, SC 29203(803) 434-6113(803) 434-7231 Get Directions Write a Review

NPPES record last updated: April 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jason John Stacy M.d. NPPES

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

DR. JASON JOHN STACY M.D. (NPI 1831164334) is an individual family medicine provider in Columbia, South Carolina, licensed in South Carolina (24051) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1831164334
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JASON JOHN STACYCredential: M.D.
Location Address3209 COLONIAL DRColumbia, SC 29203-6930
Mailing Address3209 Colonial DrColumbia, SC 29203-6930 · (803) 434-6116 · Fax (803) 434-7529
Phone(803) 434-6113
Fax(803) 434-7231
Sole ProprietorNo
Enumeration DateFebruary 20, 2006
Last NPPES UpdateApril 2, 2010
✔ NPI 1831164334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 24051
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 ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 24051 (SC)
3209 COLONIAL DR, Columbia, SC 29203
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Other Identifiers 7

Medicare PINAA04142488SC
Other0534520001SC · Medicare Dme
Medicare PINAA04142353SC
Medicare NSC0534520001SC
Medicare ID-Type UnspecifiedAA04142353
Medicaid240518SC
Medicare UPINI06057

Other Providers at the Same Location NPPES 20

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

DR. CHARLES JOSEPH CARTER JR. M.D.
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-6113
ERIN RENAE JONES NP
Nurse Practitioner (Family)
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 466-4323
KRISTIAN JORGENSEN DO
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-7399
KAITLIN RESTREPO
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-2420
DR. JUDE OKECHUKWU ONUOHA MD
Preventive Medicine (Public Health & General Preventive Medicine)
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-7399
IVORIE STANLEY MD
Preventive Medicine (Occupational Medicine)
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-6113
DR. TIMOTHY MYLES AYER MD
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-6113
DYNE EDMONDSON
Student in an Organized Health Care Education/Training Program
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (989) 439-4847

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 Jason Stacy's NPI number?

The NPI number for Jason Stacy is 1831164334. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Jason Stacy located?

Jason Stacy practices at 3209 Colonial Dr, Columbia, SC 29203. The listed phone number is (803) 434-6113.

What is Jason Stacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Jason Stacy was last updated on April 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.