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

Stephanie Trent Ballard, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1083037691

Stephanie Trent Ballard, PHYSICIANASSISTANT is a Physician Assistant in Jacksonville, North Carolina. Qualified in 2013, 13 years ago. Practices with Swetang Patel, MD, PA, a 3-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2014
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Practice location Address checks out

2587 Henderson Dr
Jacksonville, NC 28546-5253
Phone: (910) 938-3200
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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 0010-04664 (NC)

Record details

NPI number1083037691
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedFebruary 3, 2014
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Swetang Patel, Md, Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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