Stacey M Wilson, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6824 Issued in NC

Practice address

915 E Sunrise Ave
Thomasville, NC 27360-4945

Phone

(336) 474-4160

NPI assigned

Mar 31, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Davidson County Public Schools Supe

  • Local Education Agency (LEA)
  • Lexington, NC
  • NPI 1356362446
  NPD Authorized official

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1124968086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 FARMBROOK PL",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273608377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E SUNRISE AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604945",
            "telephone_number": "336-474-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STACEY",
        "middle_name": "M",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James T Williams Jr., PA-C
• Leanne Kay Willis, MD
• Alexandra Faith Wilson
• Barbie C Wilson, LCSW
• Emily Wilson
• Donald Bryant Winters
• Allison Wise
• Colton Lawrence Wood, M.D.
• Blane Wesley Yelton Jr.
• Melissa Carmichael York

• Speech-Language Pathologist in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.