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

Macy Chassereau Medlock

Individual provider Certified Registered Nurse Anesthetist · NPI 1477407963

Macy Chassereau Medlock is a Certified Registered Nurse Anesthetist in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

525 Vine St
Winston Salem, NC 27101-4125
Phone: (336) 716-1411
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 382048 (NC)

Record details

NPI number1477407963
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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