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

Stacey M. Smith, PA

Individual provider Medical Physician Assistant · NPI 1972743185

Stacey M. Smith, PA is a Medical Physician Assistant in Winston Salem, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2009.

Licensed in
NC, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2010 Baldwin Ln
Winston Salem, NC 27103-5846
Phone: (336) 277-1717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103070 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110003000 (VA)

Record details

NPI number1972743185
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 27, 2009
Last updated in NPPESOctober 28, 2020
Certification dateSeptember 6, 2020

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