Individual provider Active NPI

Donna Lynne Stockton-Rodriguez, MD

  • Dermatology Physician
  • Greenville, NC
National Provider Identifier
1851386221
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2025-03269 Issued in NC
Practice address
517 Moye Blvd
Greenville, NC 27834-2849
Phone
(252) 744-3109
Fax
(252) 744-2096
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036073727 IL
Dermatology Physician 207N00000X 2025-03269 NC Primary

Addresses

Primary practice location

517 Moye Blvd
Greenville, NC 27834-2849

Mailing address

19639 S la Grange Rd
Mokena, IL 60448-9360
Phone (708) 478-3530

Other practice location 1

19639 La Grange Rd
Mokena, IL 60448-9360
Phone (708) 478-3530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dstocktonrodriguez671302@direct.ecuhealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110523000732 IL Practitioner - Dermatology 4880671965 Reassigns benefits to 1 organization
I20260317004538 NC Practitioner - Dermatology 4880671965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina UniversityGroup PAC ID 0244143246, 499 clinicians

Practice addresses (Care Compare)

10100 191St St
Mokena, IL 60448-9381
Phone (708) 478-3530

517 Moye Blvd
FL 2
Greenville, NC 27834-2849
Phone (252) 744-0766

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.92 of 100Reported as individual
Quality
71.84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions188
Removal or shaving of skin growth28
Skin biopsy56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036073727ILMDDermatology Physician
2025-03269NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Dermatology CurrentSince Feb 18, 2026 Accepting new patients
Dermatology & Skin Surgery Associates, SC Dermatology CurrentSince May 11, 1989 Accepting new patients

Locations

10100 191st St
Mokena, IL 60448
Phone (708) 478-3530

19639 S La Grange Rd
Mokena, IL 60448
Phone (708) 478-3530

517 Moye Blvd
Fl 2
Greenville, NC 27834
Phone (252) 744-0766

517 Moye Blvd
Greenville, NC 27834
Phone (252) 744-2335

Interoperability endpoints

  • Direct secure messaging: dstocktonrodriguez671302@direct.ecuhealth.com
  • Direct secure messaging: donna.stockton.1@8564.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8564/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1851386221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19639 S LA GRANGE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489360",
            "telephone_number": "708-478-3530",
            "fax_number": "708-478-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 MOYE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342849",
            "telephone_number": "252-744-3109",
            "fax_number": "252-744-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19639 La Grange Rd",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604489360",
            "country_code": "US",
            "telephone_number": "708-478-3530",
            "fax_number": "708-478-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKTON-RODRIGUEZ",
        "first_name": "DONNA",
        "middle_name": "LYNNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036073727",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2025-03269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstocktonrodriguez671302@direct.ecuhealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "517 Moye Blvd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.