Individual provider Active NPI

Elisa A Stein, MD

  • Plastic Surgery Physician
  • Clemmons, NC
National Provider Identifier
1144494931
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2011 01308 Issued in NC
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000032 NC Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 7416113824 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011 01308NCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Nov 1, 2014 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 CurrentSince Nov 1, 2014 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.

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

Verify at the official NPI Registry.