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

Stacey Elizabeth Lacey

Individual provider Registered Nurse · NPI 1679946008

Stacey Elizabeth Lacey is a Nurse Practitioner in Conway, South Carolina. Qualified in 2015, 11 years ago. Practices with McLeod Regional Medical Center of the Pee Dee Inc, a 407-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Texas.

Years since qualifying
11
Licensed in
SC, TX
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone: (843) 347-8175
Fax: (432) 346-7598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 148 Cypress Estates Dr, Murrells Inlet, SC 29576-8698 — (512) 774-7054

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP129484 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 758324 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP129484 (TX)

Record details

NPI number1679946008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2015
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice McLeod Regional Medical Center Of The Pee Dee Inc — 407 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Conway