Individual provider Active NPI

Stephen Harris, PA-C

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1396133856
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05464 Issued in NC
Practice address
5093 University Pkwy
Winston Salem, NC 27106-6085
Phone
(336) 883-0029
Fax
(336) 883-0867
NPI assigned
Jan 6, 2015
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 0010-05464 NC Primary

Addresses

Primary practice location

5093 University Pkwy
Winston Salem, NC 27106-6085

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0029

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
I20150511002133 NC Practitioner - Physician Assistant 7517286610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

3402 Battleground Ave
Greensboro, NC 27410-2404
Phone (336) 883-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0010-05464NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center, PA CurrentSince Jan 29, 2026 Accepting new patients
Bethany Medical Center PA CurrentSince Jan 29, 2026 Accepting new patients
Bethany Medical Center Past Accepting new patients
Bethany Medical Center Physician Assistant Past Accepting new patients

Locations

3402 Battleground Ave
Greensboro, NC 27410
Phone (336) 545-1515

3801 W Market St
Greensboro, NC 27407
Phone (336) 852-3300

2805 S Main St
High Point, NC 27263
Phone (336) 431-1149

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

3610 Peters Ct
High Point, NC 27265

507 N Lindsay St
High Point, NC 27262

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

819 N Main St
Ste 112
High Point, NC 27262
Phone (336) 289-2299

108 W Main St
Ste E
Jamestown, NC 27282

495 Arbor Hill Rd
Kernersville, NC 27284

975 NC Highway 66 S
Kernersville, NC 27284
Phone (336) 289-2293

1908 Caudle Dr
Ste 105
Mount Airy, NC 27030

1103 W D St
North Wilkesboro, NC 28659

160 Kimel Forest Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 714-6400

5093 University Pkwy
Winston Salem, NC 27106

Organizations & group practices 4

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1396133856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5093 UNIVERSITY PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271066085",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.