JOHNNY DALE STACKHOUSE DO
NPI 1952569626
Family Medicine in Auburn, AL

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment
910 S DONAHUE DR, AUBURN, AL 36832(334) 442-4012 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnny Dale Stackhouse Do NPPES

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

JOHNNY DALE STACKHOUSE DO (NPI 1952569626) is an individual family medicine provider in Auburn, Alabama, licensed in Alabama (DO.1476) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2011).

NPPES Registry Identity

NPI1952569626
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHNNY DALE STACKHOUSECredential: DO
Location Address910 S DONAHUE DRAuburn, AL 36832-2975
Mailing Address910 S Donahue DrAuburn, AL 36832-2975 · (334) 442-4012
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2011
Enumeration DateMay 29, 2008
Last NPPES UpdateJuly 14, 2016
NPI 1952569626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · DO.1476
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.
910 S DONAHUE DR, Auburn, AL 36832

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johnny Dale Stackhouse Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890833289
PECOS Enrollment IDI20160505002078
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36832 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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 10

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

Student in an Organized Health Care Education/Training Program
910 S DONAHUE DR
AUBURN, AL 36832
Student in an Organized Health Care Education/Training Program
910 S DONAHUE DR
AUBURN, AL 36832
Student in an Organized Health Care Education/Training Program
910 S DONAHUE DR
AUBURN, AL 36832
Student in an Organized Health Care Education/Training Program
910 S DONAHUE DR
AUBURN, AL 36832
Student in an Organized Health Care Education/Training Program
910 S DONAHUE DR
AUBURN, AL 36832
Student in an Organized Health Care Education/Training Program
910 S DONAHUE DR
AUBURN, AL 36832
Student in an Organized Health Care Education/Training Program
910 S DONAHUE DR
AUBURN, AL 36832
Student in an Organized Health Care Education/Training Program
910 S DONAHUE DR
AUBURN, AL 36832

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 Johnny Stackhouse's NPI number?

The NPI number for Johnny Stackhouse is 1952569626. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Johnny Stackhouse located?

Johnny Stackhouse practices at 910 S Donahue Dr, Auburn, AL 36832. The listed phone number is (334) 442-4012.

What is Johnny Stackhouse's specialty?

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

Is Johnny Stackhouse enrolled in Medicare?

Yes. Johnny Stackhouse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johnny Stackhouse accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and Oscar Insurance Company list Johnny Stackhouse 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 Johnny Stackhouse was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.