| Mrs Tammie Ann Stahl, CRNA | |
| 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | |
| (843) 402-1436 | |
| (843) 402-1833 | 
| Full Name | Mrs Tammie Ann Stahl | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 2095 Henry Tecklenburg Dr, Charleston, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033111505 | NPI | - | NPPES | 
| AN0672 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN1020 (South Carolina) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 4220 (North Carolina) | Primary | 
| Entity Name | Novant Health Thomasville Medical Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 | 
| Entity Name | Medical Park Hospital Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 | 
| Entity Name | The Presbyterian Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 | 
| Entity Name | Forsyth Memorial Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 | 
| Entity Name | Novant Health Rowan Medical Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 | 
| Entity Name | Novant Health Matthews Medical Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184782419 PECOS PAC ID: 6406845247 Enrollment ID: O20051114000445 | 
| Entity Name | Presbyterian Sameday Surgery Center At Ballantyne Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1215061049 PECOS PAC ID: 4587759949 Enrollment ID: O20070928000739 | 
| Entity Name | Presbyterian Sameday Surgery Center At Huntersville Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1063641801 PECOS PAC ID: 8426197971 Enrollment ID: O20100521000450 | 
| Entity Name | Brunswick Community Hospital Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 | 
| Entity Name | Chs Anesthesia Services Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 | 
| Entity Name | Novant Health Kernersville Outpatient Surgery Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1750892659 PECOS PAC ID: 3870858525 Enrollment ID: O20180530000007 | 
| Entity Name | Novant Health Mint Hill Medical Center, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 | 
| Entity Name | Novant Health Clemmons Outpatient Surgery Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1528521887 PECOS PAC ID: 6103154778 Enrollment ID: O20190820003091 | 
| Entity Name | Novant Health Ballantyne Medical Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760190607 PECOS PAC ID: 4880065143 Enrollment ID: O20230518003163 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Tammie Ann Stahl, CRNA 408 Mendenhall St, Summerville, SC 29483-5226 Ph: (184) 382-1867 | Mrs Tammie Ann Stahl, CRNA 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 Ph: (843) 402-1436 | 
| Christopher Arnold Hensley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Rebecca Leeann Jordan,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 803-920-7547 | |
| Linda G Dancy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
| Sallie B Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406 Phone: 843-572-1228 Fax: 877-561-7564 | |
| Ginger L Brister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-876-5746 | |
| Helen E Harman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |