GREGORY P STIDHAM (MD) – Family Medicine Physician, NPI 1831183219

GREGORY P STIDHAM (MD) is a healthcare provider. based in Fayette, Alabama. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 00021977 (AL). The NPI Number for GREGORY P STIDHAM (MD) is 1831183219

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY P STIDHAM (MD)
NPI
1831183219
Phone
(205) 932-3891
Address
110 23RD ST NW
Enumeration Date
31 August 2005
Last Update Date
18 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059323891
Graduation Year
1997 (29 years ago)
PAC ID
6507044849
Group Practice PAC ID
8628096047
Professional Enrollment ID
I20110822000237
Address ID
AL355551001FA110XXNWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,756 FAMILY PRACTICE in AL

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Provider Addresses for GREGORY P STIDHAM (MD)

  • 110, 23rd Street Northwest, Fayette, Fayette County, Alabama, 35555, United States

    FAYETTE, AL 355551001

    Phone: (205) 932-3891

    Fax: (205) 932-3996

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $571.

Total Amount is formed as General ($571) + Research ($0) + Ownership ($0) = $571.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($166).

Total Amount

$571

General + Research + Ownership

Payments

35

Total payment records

General Amount

$571

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110822000237IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes452250$0
J1100Injection, dexamethasone sodium phosphate, 1 mg43440$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit428428$0
99213Established patient office or other outpatient visit, 20-29 minutes405215$0
J0696Injection, ceftriaxone sodium, per 250 mg18933$0
View full utilization report →

Insurance plans in this area (ZIP 35555)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628096047View full group profile
NameSpecialtyState
Nurse PractitionerAL
-AL
Nurse PractitionerAL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I verify GREGORY P STIDHAM (MD) with an NPI only?
You can start verification with NPI 1831183219 for GREGORY P STIDHAM (MD), then check state licensing separately.
Can I rely on GREGORY P STIDHAM (MD) being an active provider?
As of the registry snapshot, GREGORY P STIDHAM (MD) is marked active.
What is GREGORY P STIDHAM (MD)'s specialty?
The listing groups GREGORY P STIDHAM (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for GREGORY P STIDHAM (MD)?
GREGORY P STIDHAM (MD)'s geographic hint is Fayette, Alabama in our summary view.
Is the information about GREGORY P STIDHAM (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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