Individual provider Active NPI

Stefani Meagan Connel, MD

  • Family Medicine Physician
  • Leland, NC
National Provider Identifier
1073951802
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016-01626 Issued in NC
Practice address
1333 S Dickinson Dr Unit 230
Leland, NC 28451-6434
Phone
(910) 662-6600
Fax
(910) 332-0246
NPI assigned
Jun 14, 2013
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35791 SC
Family Medicine Physician 207Q00000X 2016-01626 NC Primary

Addresses

Primary practice location

1333 S Dickinson Dr Unit 230
Leland, NC 28451-6434

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Other practice location 1

75 Emerson Bay Rd
Suite 102
Carolina Shores, NC 28467-2498
Phone (910) 579-8363

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sconnel392924@direct.novanthealth.org
Direct Messaging Address sconnel137463@direct.nhrmc.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161007001649 NC Practitioner - Family Practice 8820214489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5531 Eleanor Roosevelt LN
Willard, NC 28478-6621
Phone (910) 285-0411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016-01626NCMDFamily Medicine Physician
35791SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Network Family Medicine CurrentSince Feb 18, 2019 Accepting new patients
Tri County Community Health Council Inc Current Accepting new patients
Columbus Regional Health Network Current Accepting new patients
Columbus Regional Health Network CurrentSince Feb 18, 2019 Accepting new patients
Tri County Community Health Council Inc CurrentSince Sep 13, 2023 Accepting new patients
Tri County Community Health Council Inc CurrentSince Sep 13, 2023 Accepting new patients
Columbus Regional Health Network Family Medicine Past Accepting new patients

Locations

3331 Easy St
Dunn, NC 28334

14508 James B White Hwy S
Tabor City, NC 28463
Phone (910) 641-8680

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

5531 Eleanor Roosevelt Ln
Willard, NC 28478
Phone (910) 285-0400

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Interoperability endpoints

  • Direct secure messaging: sconnel137463@direct.nhrmc.org
  • Direct secure messaging: sconnel392924@direct.novanthealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1073951802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S DICKINSON DR UNIT 230",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516434",
            "telephone_number": "910-662-6600",
            "fax_number": "910-332-0246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Emerson Bay Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Carolina Shores",
            "state": "NC",
            "postal_code": "284672498",
            "country_code": "US",
            "telephone_number": "910-579-8363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNEL",
        "first_name": "STEFANI",
        "middle_name": "MEAGAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2021-05-26",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35791",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-01626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sconnel392924@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "75 Emerson Bay Rd",
            "address_2": "Suite 102",
            "city": "Carolina Shores",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284672498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sconnel137463@direct.nhrmc.org",
            "affiliation": "N",
            "address_1": "1333 S Dickinson Dr Unit 230",
            "city": "Leland",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284516434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

Verify at the official NPI Registry.