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

Stacie Gurganus Foutty

Individual provider Nurse Practitioner · NPI 1447130992

Stacie Gurganus Foutty is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2025, 1 year ago. Practices with Tarheel Emergency Group, PLLC, a 40-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8911 Shipwatch Dr
Wilmington, NC 28412-3537
Phone: (252) 714-2509
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5023013 (NC)

Record details

NPI number1447130992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 4, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tarheel Emergency Group, Pllc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington