Active NPI
Elisa A Stein, MD
- Plastic Surgery Physician
- Clemmons, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 2011 01308
- Practice address
- 6318 Jessie LN
Clemmons, NC 27012-9887 - Phone
- (336) 355-0353
- Fax
- (336) 742-8860
- NPI assigned
- Apr 14, 2008
- Last updated
- Nov 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 2011 01308 | NC | Primary |
Addresses
Primary practice location
6318 Jessie LN
Clemmons, NC 27012-9887
Mailing address
6318 Jessie LN
Clemmons, NC 27012-9887
Phone (336) 355-0353
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011 01308 | NC | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Stein Aesthetic & Plastic Surgery | Plastic Surgery | Current | Accepting new patients |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Cornerstone Health Care PA | Past | Accepting new patients |
Locations
6318 Jessie Ln
Clemmons, NC 27012
Phone (336) 245-9595
1814 Westchester Dr
Ste 101
High Point, NC 27262
Phone (336) 802-2105
624 Quaker Ln
Ste 207C
High Point, NC 27262
Phone (336) 883-2500
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
Organizations & group practices 5
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.
-
dba Atrium Health Wake Forest Baptist Pediatrics - Greensboro
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
- Plastic Surgery Physician
- Clemmons, NC
- NPI 1275493033
-
dba Atrium Health Wake Forest Baptist Family Medicine - Springs Road
- Family Medicine Physician
- Hickory, NC
- NPI 1477828788
-
dba Atrium Health Levine Children's Pediatrics Northwest
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
-
- Cardiovascular Disease Physician
- Statesville, NC
- NPI 1275914046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1144494931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6318 JESSIE LN",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270129887",
"telephone_number": "336-355-0353",
"fax_number": "336-742-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6318 JESSIE LN",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270129887",
"telephone_number": "336-355-0353",
"fax_number": "336-742-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "ELISA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NC",
"license": "2011 01308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.