Individual provider Active NPI

Stephanie Justice Wolfe, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1356612618
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03325 Issued in NC
Practice address
4023 Guilford College Rd
Greensboro, NC 27407-8052
Phone
(336) 890-2040
Fax
(336) 890-2099
NPI assigned
Jan 18, 2012
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 0010-03325 NC Primary

Addresses

Primary practice location

4023 Guilford College Rd
Greensboro, NC 27407-8052

Mailing address

PO Box 602598
Charlotte, NC 28260-2598
Phone (336) 716-2255

Other practice location 1

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 207-7005

Other names 1

  • Stephanie Nicole Justice Former name

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
I20120308000492 NC Practitioner - Physician Assistant 9436318508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

709 Green Valley Rd
FL 2
Greensboro, NC 27408-7019
Phone (336) 890-2480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-03325NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network LLC CurrentSince May 1, 2018 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince May 30, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Feb 20, 2012 Accepting new patients
Moses Cone Medical Services, Inc. Physician Assistant CurrentSince May 30, 2025 Accepting new patients
Wake Forest Health Network, LLC CurrentSince May 1, 2018 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

2311 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 713-0400

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

709 Green Valley Rd
Fl 2
Greensboro, NC 27408
Phone (336) 547-1792

4023 Guilford College Rd
Greensboro, NC 27407
Phone (336) 890-2040

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1814 Westchester Dr
Ste 203
High Point, NC 27262
Phone (336) 702-1355

1814 Westchester Dr
Ste 203C
High Point, NC 27262

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

5826 Samet Dr
Ste 101
High Point, NC 27265
Phone (336) 878-6540

13 Medical Park Dr
Lexington, NC 27292
Phone (336) 236-4000

1188 Yadkinville Rd
Mocksville, NC 27028
Phone (336) 716-7435

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

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.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1356612618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602598",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602598",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 GUILFORD COLLEGE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274078052",
            "telephone_number": "336-890-2040",
            "fax_number": "336-890-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-207-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "STEPHANIE",
        "middle_name": "JUSTICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "JUSTICE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.