Stephanie Macklin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12297 Issued in NC

Practice address

8590 Fayetteville Rd
Raeford, NC 28376-1940

Phone

(910) 479-1712

NPI assigned

Jun 8, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matrix Occupational Health P.C.

  • Urgent Care Clinic/Center
  • Fayetteville, NC
  • NPI 1144279670

  NC

  Medicare reassignment NPD
• Robert C. Pennebaker PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
  • NPI 1144657677

  NC

  Medicare reassignment NPD
• Robeson Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Lumberton, NC
  • NPI 1801375373

  NC

  Medicare reassignment NPD
• Veritas Private Medicine

  • Family Medicine Physician
  • Raeford, NC
  • NPI 1205769825
  NPD Authorized official
• Coastal Carolina Behavioral Health, Inc.

  • Psychiatry Physician
  • Surfside Beach, SC
  • NPI 1811622277
  NPD (past)
• Coastal Carolina Behavioral Health, Inc.

  • Psychiatry Physician
  • Surfside Beach, SC
  • NPI 1932884046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1003545773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8590 FAYETTEVILLE RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283761940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 FAYETTEVILLE RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283761940",
            "telephone_number": "910-479-1712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 Breezewood Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035281",
            "country_code": "US",
            "telephone_number": "910-491-1134",
            "fax_number": "910-491-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKLIN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyfe Changing Services, LLC
• Rebecca L Lyman
• M D M D Services, Inc.
• M&T Enhancement Residential Care, LLC
• M&T Enhancement Services
• Majestic Care Living Services Corp
• Makin' Choices, Inc.
• Lakesha Manuel, LCSWA
• Lauren Markley, LCSW
• Alicia Martinez-Mendez, LCSWA

• All providers in Raeford, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.