NPIMap

Individual provider Active NPI

Stacey Myers, PA-C

  • Physician Assistant
  • Richmond, VA
National Provider Identifier
1578195970
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007674 Issued in VA
Practice address
1501 Maple Ave Ste 200
Richmond, VA 23226-2553
Phone
(804) 285-2300
NPI assigned
Feb 4, 2020
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 0110007674 VA Primary

Addresses

Primary practice location

1501 Maple Ave Ste 200
Richmond, VA 23226-2553

Mailing address

3009 Balster LN
Henrico, VA 23233-1922
Phone (703) 595-3652

Other names 1

  • Stacey McGaughey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305000651 VA Practitioner - Physician Assistant 2264848852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 Maple Ave
Richmond, VA 23226-2553

1510 N 28TH St
Richmond, VA 23223-5311

3400 Haydenpark LN
Henrico, VA 23233-7867
Phone (804) 285-2300

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

8220 Meadowbridge Rd
Suite 202
Mechanicsville, VA 23116-2340
Phone (804) 285-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110007674VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tuckahoe Orthopaedic Associates, LTD CurrentSince Apr 5, 2021 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 8, 2021 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 8, 2021 Accepting new patients

Locations

3400 Haydenpark Ln
Ste 100
Henrico, VA 23233

8266 Atlee Rd
Ste 125
Mechanicsville, VA 23116
Phone (804) 893-8540

1501 Maple Ave
Ste 101A
Richmond, VA 23226
Phone 80428523001191

1501 Maple Ave
Ste 200
Richmond, VA 23226
Phone 8042852300 ext. 1627

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: staceymcgaughey@toa.allscriptsdirect.net

Organizations & group practices 3

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1578195970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 BALSTER LN",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331922",
            "telephone_number": "703-595-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAPLE AVE STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262553",
            "telephone_number": "804-285-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "STACEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "MCGAUGHEY",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.