Individual provider Active NPI

Stefanie Alexis Dubicki, PA-C

  • Physician Assistant
  • Stokesdale, NC
National Provider Identifier
1730723362
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12144 Issued in NC
Practice address
7779 NC Highway 68 N Ste 2a
Stokesdale, NC 27357-9496
Phone
(336) 660-5290
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5615 SC
Physician Assistant 363A00000X 0010-12144 NC Primary

Addresses

Primary practice location

7779 NC Highway 68 N Ste 2a
Stokesdale, NC 27357-9496

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 660-5290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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

Enrollment IDStateProvider typePAC IDDetails
I20220513002069 NC Practitioner - Physician Assistant 1254750094 Reassigns benefits to 1 organization
I20250606001389 SC Practitioner - Physician Assistant 1254750094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1711 Clements Ferry Rd
Unit 112
Charleston, SC 29492-8717
Phone (843) 606-7893

1730 Kernersville Medical Pkwy
Kernersville, NC 27284-7198

180 Wingo Way
Mt Pleasant, SC 29464-1810

180 Wingo Way
Suite 207
Mount Pleasant, SC 29464-1811
Phone (843) 884-5101

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572

7779 NC Hwy 68 N
Suite 2a
Stokesdale, NC 27357-9496
Phone (336) 660-5290

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5615SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Jun 16, 2025 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jun 16, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260

180 Wingo Way
Ste 207
Mt Pleasant, SC 29464
Phone (843) 884-5101

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: sdubicki1047596@direct.novanthealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1730723362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-660-5290",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7779 NC HIGHWAY 68 N STE 2A",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273579496",
            "telephone_number": "336-660-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBICKI",
        "first_name": "STEFANIE",
        "middle_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5615",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stokesdale, NC

Sources for this page

Verify at the official NPI Registry.