Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Gibbs Stanley, PA

Individual provider Physician Assistant · NPI 1205095809

Courtney Gibbs Stanley, PA is a Physician Assistant in Lake City, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2007, 19 years ago. Practices with McLeod Physician Associates II, a 542-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
19
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

325 Mercy St
Lake City, SC 29560-2331
Phone: (843) 374-6256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1297 (SC)

Record details

NPI number1205095809
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 9, 2008
Last updated in NPPESJune 9, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice McLeod Physician Associates Ii — 542 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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