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

Stacy Leigh Ballard, NP

Individual provider Adult Health Nurse Practitioner · NPI 1063976421

Stacy Leigh Ballard, NP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2019
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10650 Park Rd
Charlotte, NC 28210-8538
Phone: (704) 667-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255
  • 100 Medical Park Dr, Concord, NC 28025-2948 — (704) 403-6100
  • 1550 Faulk St, Monroe, NC 28112-5086 — (704) 667-3410
  • 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 — (919) 989-7909

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 5013711 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5013711 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5013711 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5013711 (NC)

Record details

NPI number1063976421
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 29, 2019
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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