Individual provider Active NPI

Stacie Ledford Stegall, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1457622862
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001003328 Issued in NC
Practice address
115 Kildaire Park Dr Ste 101
Cary, NC 27518-8144
Phone
(919) 387-3180
NPI assigned
Jan 17, 2012
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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 001003328 NC Primary

Addresses

Primary practice location

115 Kildaire Park Dr Ste 101
Cary, NC 27518-8144

Mailing address

115 Kildaire Park Dr Ste 101
Cary, NC 27518-8144
Phone (919) 387-3180

Other practice location 1

1406 Rodessa Run
Raleigh, NC 27607-6018
Phone (919) 306-0921

Other names 1

  • Stacie Elizabeth Ledford 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
I20120210000774 NC Practitioner - Physician Assistant 2466619945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Brody School of Medicine at East Carolina University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

11491 Clayton Blvd
Clayton, NC 27520-2207
Phone (919) 560-2484

11491 US 70 Business Hwy W
Clayton, NC 27520-2207
Phone (919) 550-2484

1311 E Millbrook Rd
Raleigh, NC 27609-5473
Phone (919) 719-0119

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3420 Ten Ten Rd
Suite 318
Cary, NC 27518-6101
Phone (919) 362-5871

4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (337) 991-9276

7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001003328NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA CurrentSince Sep 9, 2025 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Sep 9, 2025 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1457622862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-387-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-387-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Rodessa Run",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076018",
            "country_code": "US",
            "telephone_number": "919-306-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEGALL",
        "first_name": "STACIE",
        "middle_name": "LEDFORD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001003328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "LEDFORD",
            "middle_name": "ELIZABETH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.