Individual provider Active NPI

Stacy Leigh Murphy Marcum, PA-C

  • Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1194719013
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103357 Issued in NC
Practice address
15 Regional Dr
Pinehurst, NC 28374-8850
Phone
(910) 295-5511
Fax
(910) 235-3448
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103357 NC Primary

Addresses

Primary practice location

15 Regional Dr
Pinehurst, NC 28374-8850

Mailing address

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511

Other practice location 1

15 Regional Dr
Pinehurst, NC 28374-8850
Phone (910) 295-5511

Other identifiers 2

IdentifierTypeStateIssuer
P01645409OtherNCRR MEDICARE
1194719013MedicaidNC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000260 NC Practitioner - Physician Assistant 0648257360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2587 Ravenhill Dr
Fayetteville, NC 28303-5451
Phone (910) 323-1543

305 Page Rd N
Suite 6
Pinehurst, NC 28374-4619
Phone (910) 621-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. CurrentSince Apr 4, 2016 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Oct 4, 2023 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Oct 4, 2023 Accepting new patients
Vitalcare Health Services PC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Akachi Solution, LLC Past Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400

555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518

200 Pavilion Way
Southern Pines, NC 28387
Phone (910) 235-3330

5725 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 782-1455

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1194719013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748749",
            "telephone_number": "910-295-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 REGIONAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748850",
            "telephone_number": "910-295-5511",
            "fax_number": "910-235-3448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Regional Dr",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748850",
            "country_code": "US",
            "telephone_number": "910-295-5511",
            "fax_number": "910-235-3448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "STACY",
        "middle_name": "LEIGH MURPHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01645409",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194719013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.