Latondra Stillwell-Barker, DMSC, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101921 Issued in NC

Practice address

3400 Walsh Pkwy Ste 218
Fayetteville, NC 28311-1642

Phone

(678) 557-0207

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: latondra.barker@398008301912068.direct.elationemr.com
• Direct secure messaging: lstillwellbarker19562@capefearvalley.direct-ci.com

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.

• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment
• Medgalore Aesthetics & Wellness

  • Clinic/Center
  • Durham, NC
  • NPI 1730895442

  Physician Assistant

  NPD
• Sleep Better Solutions, LLC

  • Internal Medicine Physician
  • Cumberland, NC
  • NPI 1487267654

  Physician Assistant

  NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Stillwell Medical Group

  • Physician Assistant
  • Loganville, GA
  • NPI 1659414175

  Surgical Assistant

  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1245398221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 WINGATE RD UNIT 48613",
            "city": "CUMBERLAND",
            "state": "NC",
            "postal_code": "283319005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WALSH PKWY STE 218",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111642",
            "telephone_number": "678-557-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLWELL-BARKER",
        "first_name": "LATONDRA",
        "credential": "DMSC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Naomi Stewart, OTR/L
• Latoya B Stewart
• Todd Lee Stewart, DDS
• Paula Marie Stiles, RN
• Eva Stills, COS, CT, RH, MNIMH
• Kelsey Stiltenpole, OTR/L
• Molly Stines
• Lindsay Ann Stinson, OTR/L
• Leah L Stith
• Kara Catherine Stockdale, PHARMD

• Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.