Individual provider Active NPI

Stephanie Lynn Kirby, MD

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1184615817
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-02640 Issued in NC
Practice address
103 Country Club Dr
Fayetteville, NC 28301-7603
Phone
(910) 400-7002
Fax
(910) 408-7675
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 2023-02640 NC Primary
Family Medicine Physician 207Q00000X 0101236864 VA
Family Medicine Physician 207Q00000X 21701 WV

Addresses

Primary practice location

103 Country Club Dr
Fayetteville, NC 28301-7603

Mailing address

254 Peaceford Ave
Raeford, NC 28376-5015
Phone (540) 533-7080

Other practice location 1

254 Peaceford Ave
Raeford, NC 28376-5015
Phone (540) 533-7080

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
I20101202001051 NC Practitioner - Family Practice 0042407041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians
FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

103 Country Club Dr
Fayetteville, NC 28301-7603
Phone (910) 400-7002

313 Teal Dr
Raeford, NC 28376-2567
Phone (910) 904-2350

3250 Freedom Dr
Charlotte, NC 28208-2817
Phone (704) 709-6009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21701WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC Family Medicine CurrentSince Mar 15, 2025 Accepting new patients
Carelon Medical Partners of North Carolina PC Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Osh Mi Physicians Group, PC Multi-Specialty CurrentSince Apr 1, 2026 Accepting new patients
Caremore Medical Group of North Carolina, PC Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Mar 15, 2025 Accepting new patients
FHPG, LLC Multi-Specialty Current Accepting new patients
Osh-Mi Physicians Group PC Multi-Specialty CurrentSince Apr 1, 2026 Accepting new patients

Locations

103 Country Club Dr
Fayetteville, NC 28301
Phone (910) 400-7002

313 Teal Dr
Raeford, NC 28376
Phone (910) 904-2350

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887

Interoperability endpoints

  • Direct secure messaging: skirby125036@firsthealth.direct-ci.net

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1184615817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 PEACEFORD AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765015",
            "telephone_number": "540-533-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COUNTRY CLUB DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017603",
            "telephone_number": "910-400-7002",
            "fax_number": "910-408-7675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Peaceford Ave",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283765015",
            "country_code": "US",
            "telephone_number": "540-533-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-02640",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236864",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.