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

Mrs. Heather Church Stavrakas, NP-C

Individual provider Nurse Practitioner · NPI 1093986473

Mrs. Heather Church Stavrakas, NP-C is a Nurse Practitioner in Ridgeland, South Carolina. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
19
Licensed in
NC, SC
In the registry since
2008
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

329 Friends Ln
Ridgeland, SC 29936-5175
Phone: (843) 525-6257
Fax: (843) 525-9418
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 19200 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 138671 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5003921 (NC)

Record details

NPI number1093986473
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMarch 13, 2008
Last updated in NPPESSeptember 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount