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

Dr. Warren D Stacks, MD

Individual provider Family Medicine Physician · NPI 1740203090

Dr. Warren D Stacks, MD is a Family Practice in Winston Salem, North Carolina. Graduated from University of Arkansas College of Medicine in 1987, 39 years ago. Practices with Moses Cone Medical Services Inc, a 217-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
39
Trained at
University of Arkansas College of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Westgate Center Dr Ste 140
Winston Salem, NC 27103-3104
Phone: (336) 765-7774
Fax: (336) 659-9845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 W Decatur St, Madison, NC 27025-1913 — (336) 548-9618

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9401498 (NC)

Record details

NPI number1740203090
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Moses Cone Medical Services Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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