Stephanie D. Myracle, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

2007-01974 Issued in NC

Practice address

89 Hospital Dr Ste a-Up1
Brevard, NC 28712-4837

Phone

(828) 570-5505

Fax

(828) 259-2581

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Stephanie Diamantis 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

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Icahn School of Medicine at Mount Sinai, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Skin Institute PAGroup PAC ID 1254854078, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Transylvania Regional Hospital, Inc Hospital, Brevard, NC, CCN 341319

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carolina Skin Institute, P.a

  • MOHS-Micrographic Surgery Physician
  • Brevard, NC
  • NPI 1033922737

  Dermatology, NC

  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Dermatology and Skin Surgery, PA

  • Dermatology Physician
  • Asheville, NC
  • NPI 1215990700

  Dermatology, NC

  Medicare reassignment NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD (past)
• Skin Surgery Center PA

  • MOHS-Micrographic Surgery Physician
  • Mount Pleasant, SC
  • NPI 1851810279

  Mohs-Micrographic Surgery

  NPD (past)

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

• MH Transylvania Regional Hospital, LLLP

  • Critical Access Hospital
  • Brevard, NC
  • NPI 1417432139

  Hospital

  Care Compare affiliation
• MH Transylvania Regional Hospital, LLLP

  • Rural Health Clinic/Center
  • Clyde, NC
  • NPI 1972079127

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1447453402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL DR STE A-UP1",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124837",
            "telephone_number": "828-570-5505",
            "fax_number": "828-259-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL DR STE A-UP1",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124837",
            "telephone_number": "828-570-5505",
            "fax_number": "828-259-2581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Medical Park Drive",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "28803",
            "country_code": "US",
            "telephone_number": "828-274-4880",
            "fax_number": "828-274-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYRACLE",
        "first_name": "STEPHANIE",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2007-01974",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "2007-01974",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2007-01974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918699",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DIAMANTIS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Craig Cowan Moore, MD IM
• Sheila G. Moore
• Mountain Area Health Education Center, Inc.
• Mountain Area Spectrum Center, Inc
• Mountain Counseling Associates
• Allan Dale Nash, MD
• National Mentor Healthcare LLC
• National Mentor Healthcare LLC
• National Mentor Healthcare LLC
• Judith Brennan Nebrig, LCSW

• MOHS-Micrographic Surgery Physician in Brevard, NC
• Providers in Brevard, NC by specialty
• MOHS-Micrographic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.