Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Robert Stacy, DO

Individual provider Psychiatry Physician · NPI 1093127367

Benjamin Robert Stacy, DO is a Psychiatry in Statesville, North Carolina. Qualified in 2014, 12 years ago. Works from 3 locations. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1450 Fern Creek Dr
Statesville, NC 28625-9376
Phone: (704) 818-9191
Fax: (704) 872-3782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 518 Brookdale Dr, Statesville, NC 28677-4108 — (704) 872-9595
  • 1703 Davie Ave, Statesville, NC 28677-3521 — (704) 818-9191

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2019-00320 (NC)

Record details

NPI number1093127367
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2014
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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