Stacee Sheets Goodrich, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

200000950 Issued in NC

Practice address

445 Pineview Dr Ste 110
Kernersville, NC 27284-3818

Phone

(336) 993-4352

Fax

(336) 993-3590

NPI assigned

Oct 28, 2005

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stacee Elizabeth Reynolds Former name

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

Specialty

Obstetrics/Gynecology

Education

University of Texas Medical School at Houston, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgoodrich2792543@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: stacee.sheets.goodrich.1@7773.direct.athenahealth.com

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.

• Uwh of the Carolinas, PLLC

  • Obstetrics & Gynecology Physician
  • Morrisville, NC
  • NPI 1639506470
  Medicare reassignment Care Compare group NPD
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Obhg North Carolina, P.C.

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1124300876
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Winston Salem, NC
  • NPI 1841427200
  NPD
• Novant Health Medical Group LLC

  dba Novant Health WomanCare

  • Obstetrics & Gynecology Physician
  • Kernersville, NC
  • NPI 1194113662
  NPD (past)
• Novant Health Medical Group, LLC

  dba Novant Health Deep River OBGYN

  • Obstetrics & Gynecology Physician
  • Kernersville, NC
  • NPI 1427928902
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356331409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HANESTOWN CT STE 151",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031749",
            "telephone_number": "336-765-9350",
            "fax_number": "336-760-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PINEVIEW DR STE 110",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843818",
            "telephone_number": "336-993-4352",
            "fax_number": "336-993-3590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Hanestown Ct Ste 151",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031749",
            "country_code": "US",
            "telephone_number": "336-765-9350",
            "fax_number": "336-760-4255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2927 Lyndhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "271034005",
            "country_code": "US",
            "telephone_number": "336-765-9350 x101",
            "fax_number": "336-760-4255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "STACEE",
        "middle_name": "SHEETS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200000950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "132JR",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132JR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEE",
            "last_name": "REYNOLDS",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meredith Glass
• Carentxa Iryva Goede
• Katherine Goings, PA-C
• Rosy Gonzalez Avila
• Monica Gonzalez
• Madison Gordon
• Brandy Grace, DNP, RN
• Madeline Graham
• Susan Huggins Grainger, PNP
• Gray Sappenfield Moulton (Gray S. Moulton, LMFT, PLLC)

• Obstetrics & Gynecology Physician in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.