Stacy Johnson Gambill, F.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5000711 Issued in NC

Practice address

413 McConnell St
Jefferson, NC 28640-9772

Phone

(336) 246-9449

Fax

(336) 846-2025

NPI assigned

Oct 25, 2006

Last updated

Nov 25, 2025By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Eventus Premier Healthcare LLCGroup PAC ID 6305381013, 105 clinicians

Appalachian District Health DeptGroup PAC ID 1759281835, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.gambill.1@19844.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.

• Appalachian District Health Dept

  dba AppHealthCare

  • Public Health or Welfare Agency
  • Boone, NC
  • NPI 1487727459
  Medicare reassignment Care Compare group NPD
• Eventus Premier Healthcare LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1437998309
  Medicare reassignment Care Compare group NPD
• Eventus WH Mid-Atlantic, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1700627130
  Medicare reassignment NPD
• Eventus WH PLLC Care, LLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1639990658

  VA

  Medicare reassignment
• Hospitalist Medicine Physicians of Washington Tacoma PLLC

  • Internal Medicine Physician
  • Cleveland, TN
  • NPI 1740911585

  VA

  Medicare reassignment
• Premier Geriatric Solutions PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Roanoke, VA
  • NPI 1568093672
  Medicare reassignment
• Appalachian District Health Dept

  dba AppHealthCare

  • Public Health or Welfare Agency
  • Jefferson, NC
  • NPI 1427121144
  NPD
• Appalachian District Health Dept

  dba AppHealthCare

  • Public Health or Welfare Agency
  • Sparta, NC
  • NPI 1538270814
  NPD
• Alleghany Memorial Hospital

  • Critical Access Hospital
  • Sparta, NC
  • NPI 1992838593
  NPD (past)

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

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1457436008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400208",
            "telephone_number": "336-246-9449",
            "fax_number": "336-982-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 MCCONNELL ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409772",
            "telephone_number": "336-246-9449",
            "fax_number": "336-846-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5261 Carrollton Pike",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243813664",
            "country_code": "US",
            "telephone_number": "276-238-0911",
            "fax_number": "276-238-0912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Health Services Rd",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NC",
            "postal_code": "286753000",
            "country_code": "US",
            "telephone_number": "336-372-5641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Poplar Grove Connector",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286076068",
            "country_code": "US",
            "telephone_number": "828-264-4995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBILL",
        "first_name": "STACY",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167387",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5000711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "VV9055B667",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jean Faw, LPC
• Samantha Faw, PHARMD
• Theresa Lynn Ferguson, R.PH.
• Margaret Younts Franca, MED. CCC-SLP
• Patricia Ann Franklin, LPT
• Marilyn Martin Gamewell, FNP-C
• Amanda Elizabeth Gentry, L.P.C.
• Beverly Lynn Gilley, MSN, RN
• Amanda Kayanna Gilligan, FNP-C
• GKB Inc (Jefferson Drug Store)

• Family Nurse Practitioner in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.