Active NPI
Stacie Smith Cockerham, NP
- Nurse Practitioner
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5014106
- Practice address
- 601 N Elm St
High Point, NC 27262-4331 - Phone
- (336) 878-6000
- Fax
- (336) 878-6010
- NPI assigned
- Feb 10, 2021
- Last updated
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5014106 | NC | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 5014106 | NC |
Addresses
Primary practice location
601 N Elm St
High Point, NC 27262-4331
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-2255
Other practice location 1
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000
Other practice location 2
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7224
Other practice location 3
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5260
Other practice location 4
190 Kimel Park Dr Ste 155
Winston Salem, NC 27103-6946
Phone (336) 765-6637
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Kimel Park Dr
Winston Salem, NC 27103-6951
Phone (336) 718-1006
190 Kimel Park Dr
Suite 155
Winston Salem, NC 27103-6946
Phone (336) 765-6637
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Past | Accepting new patients |
Locations
152 E Kinderton Way
Ste 101
Bermuda Run, NC 27006
Phone (336) 893-3180
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006
190 Kimel Park Dr
Ste 155
Winston Salem, NC 27103
Phone (336) 765-6637
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Interoperability endpoints
- scockerham2876920@carolinashealthcaresystem.direct-ci.com
- scockerham779960@direct.novanthealth.org
Organizations & group practices 7
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 NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Cardiology Clemmons
- Cardiovascular Disease Physician
- Clemmons, NC
- NPI 1710382411
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Brain and Spine Surgery
- Neurological Surgery Physician
- Winston Salem, NC
- NPI 1497080006
-
dba Novant Health Surry Medical Associates
- Family Medicine Physician
- Mount Airy, NC
- NPI 1295783108
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
dba High Point Regional
- General Acute Care Hospital
- High Point, NC
- NPI 1396746228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1306438304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N ELM ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624331",
"telephone_number": "336-878-6000",
"fax_number": "336-878-6010"
}
],
"practiceLocations": [
{
"address_1": "1200 N Elm St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274011004",
"country_code": "US",
"telephone_number": "336-832-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Silas Creek Pkwy",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033013",
"country_code": "US",
"telephone_number": "336-718-7224",
"fax_number": "336-718-7598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 Mocksville Ave",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281442732",
"country_code": "US",
"telephone_number": "704-210-5260",
"fax_number": "704-210-5265",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Kimel Park Dr Ste 155",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271036946",
"country_code": "US",
"telephone_number": "336-765-6637",
"fax_number": "336-765-6964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COCKERHAM",
"first_name": "STACIE",
"middle_name": "SMITH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5014106",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "5014106",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.