Laurel Susan Stacey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

57 White Owl LN
Cashiers, NC 28717-4514

Phone

(828) 743-2491

Fax

(828) 743-3060

NPI assigned

Jun 22, 2012

Last updated

Jun 22, 2012By the provider in NPPES

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 SC

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newberry County Memorial HospitalGroup PAC ID 8123927464, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newberry County Memorial Hospital Hospital, Newberry, SC, CCN 420053

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laurel.stacey.1@13400.direct.athenahealth.com
• Direct secure messaging: laurel.stacey.2@13400.direct.athenahealth.com

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.

• Newberry County Memorial Hospital

  • Emergency Medicine Physician
  • Newberry, SC
  • NPI 1891219887
  Medicare reassignment Care Compare group NPD
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555
  Medicare reassignment
• Newberry County Memorial Hospital

  dba WhitmireMedical Center of Newberry Hospital

  • Family Medicine Physician
  • Whitmire, SC
  • NPI 1740794049
  Medicare reassignment
• Newberry County Memorial Hospital

  dba Newberry Health Primary Care and Pediatrics

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1962213785
  NPD
• Camden Family Care LLC

  • Family Medicine Physician
  • Camden, SC
  • NPI 1144277922
  NPD (past)
• Newberry County Memorial Hospital

  dba Newberry Medical Center of Newberry College

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1043990807
  NPD (past)
• Newberry County Memorial Hospital

  • General Acute Care Hospital
  • Newberry, SC
  • NPI 1134215148
  NPD (past)
• Nimco L.L.C

  • Other Specialist/Technologist
  • Atlanta, GA
  • NPI 1982857710
  NPD (past)
• Providence Orthopaedic Group LLC

  dba Moore Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Columbia, SC
  • NPI 1255308342
  NPD (past)

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

• Newberry County Memorial Hospital

  • General Acute Care Hospital
  • Newberry, SC
  • NPI 1316030083
  Care Compare affiliation

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1104189232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WHITE OWL LN",
            "address_2": "PO BOX 1828",
            "city": "CASHIERS",
            "state": "NC",
            "postal_code": "287174514",
            "telephone_number": "828-743-2491",
            "fax_number": "828-743-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WHITE OWL LN",
            "city": "CASHIERS",
            "state": "NC",
            "postal_code": "287174514",
            "telephone_number": "828-743-2491",
            "fax_number": "828-743-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACEY",
        "first_name": "LAUREL",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Area Family Medicine, PA
• Jane K. Pressler, FNP
• Simons Chiropractic PLLC (D/B/A Cashiers Chiropractic & Wellness)
• John Morton Smith Jr.
• Ethan Staats
• Structural Chiropractic, PLLC (Cashiers Chiropractic)
• Tadaar, P.a. (Mountain Air Wellness Centers)
• Tadaarnc PLLC (Cashiers Chiropractic)
• William Scott Thurman, RPH
• Laurie Vanderwiele

• Physician Assistant in Cashiers, NC
• Providers in Cashiers, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.