NPIMap

Organization Active NPI

Stacy L. Terry, MD PA

  • Pediatrics Physician
  • Frisco, TX
National Provider Identifier
1467524678
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K5318 Issued in TX
Legal business name
STACY L. TERRY, MD PA
Practice address
4040 Legacy Dr Ste 201
Frisco, TX 75034-6748
Phone
(972) 668-6705
Fax
(972) 668-7308
NPI assigned
Nov 14, 2006
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Dr. Stacy Lynn Terry, MDNPI 1417921008
Title
President
Phone
(214) 707-6443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K5318 TX Primary

Addresses

Primary practice location

4040 Legacy Dr Ste 201
Frisco, TX 75034-6748

Mailing address

4820 Star Ridge LN
Frisco, TX 75034-5128

Other practice location 1

301 N Preston Rd Ste D
Prosper, TX 75078-8878
Phone (972) 668-6705

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1097547Stacy L Terry, MD, PA4040 Legacy Drive, Suite 201, Frisco, TX 75034Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

4040 Legacy Dr
Ste 201
Frisco, TX 75034
Phone (972) 510-7774

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1467524678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 STAR RIDGE LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 LEGACY DR STE 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346748",
            "telephone_number": "972-668-6705",
            "fax_number": "972-668-7308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N Preston Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750788878",
            "country_code": "US",
            "telephone_number": "972-668-6705",
            "fax_number": "972-668-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STACY L. TERRY, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-707-6443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K5318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.