Madison M Stonewall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12725 Issued in NC

Practice address

1615 Polo Rd
Winston Salem, NC 27106-3831

Phone

(336) 722-7266

Fax

(336) 201-0538

NPI assigned

Mar 11, 2021

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

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mood Treatment Center, PLLCGroup PAC ID 6103068598, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mood Treatment Center, PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1285867952
  Medicare reassignment Care Compare group
• Wellmood PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1154182368
  NPD (past)
• Complete Care Partners LLC

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1114437563
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1386229367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 POLO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063831",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 POLO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063831",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 Lewisville Clemmons Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129342",
            "country_code": "US",
            "telephone_number": "336-568-8516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Cambridge Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271043556",
            "country_code": "US",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Adams Farm Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274076338",
            "country_code": "US",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONEWALL",
        "first_name": "MADISON",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lenae Stone, NP
• Patrick Seth Stone, PA-C
• Tyler Stone, PHARMD, CPP
• Stonebuilders Family Counseling Center, Inc.
• Zachary Stoner, PA-C
• Jason P. Stopyra, M.D.
• Virginia Rebecca Storick, MD
• Jennie Storks, OTR/L
• Andrew Charles Storm, M.D.
• David James Story, M.D.

• Physician Assistant in Winston Salem, NC
• Providers in Winston Salem, 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 Jun 23, 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.

Verify at the official NPI Registry.