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STACEY W MARTIN MD
NPI 1417945270
Family Medicine in Harrisburg, NC

Active since October 06, 2005
4315 PHYSICIANS BLVD, SUITE 101, HARRISBURG, NC 28075(704) 455-6521(704) 455-3078 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey W Martin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY W MARTIN MD (NPI 1417945270) is an individual family medicine provider in Harrisburg, North Carolina, licensed in North Carolina (9901251) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1417945270
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACEY W MARTINCredential: MD
Location Address4315 PHYSICIANS BLVD, SUITE 101Harrisburg, NC 28075-7431
Mailing AddressPo Box 71061Charlotte, NC 28272-1061 · (704) 455-6521 · Fax (704) 455-3078
Phone(704) 455-6521
Fax(704) 455-3078
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateJune 24, 2013
✔ NPI 1417945270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9901251
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4315 PHYSICIANS BLVD, Harrisburg, NC 28075
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Other Names 1

Former Name (1)Mrs. Stacey W Wyndham

Other Identifiers 2

Medicaid891289ANC
Medicare PIN2286671BNC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
4315 PHYSICIANS BLVD, STE 101
HARRISBURG, NC 28075
Cabarrus County (704) 455-6521
JONATHAN R. PATTERSON MD
Family Medicine
4315 PHYSICIANS BLVD, STE 101
HARRISBURG, NC 28075
Cabarrus County (704) 455-6521
REBEKAH LOUISE AURIE DO
Family Medicine
4315 PHYSICIANS BLVD, STE 101
HARRISBURG, NC 28075
Cabarrus County (704) 455-6521
AUNDREA LYNN MARRA MD
Obstetrics & Gynecology
4315 PHYSICIANS BLVD, STE 201
HARRISBURG, NC 28075
Cabarrus County (704) 786-7158
ANH KIM CAUSEY MD
Family Medicine
4315 PHYSICIANS BLVD, STE 101
HARRISBURG, NC 28075
Cabarrus County (704) 455-6521
CAROLINAS PHYSICIANS NETWORK INC
Counselor
4315 PHYSICIANS BLVD, STE 101
HARRISBURG, NC 28075
Cabarrus County (704) 455-6521
CAROLINAS PHYSICIANS NETWORK INC
Obstetrics & Gynecology
4315 PHYSICIANS BLVD, STE 201
HARRISBURG, NC 28075
Cabarrus County (704) 786-7158
VICTOR LIN KHIAN HA MD
Family Medicine
4315 PHYSICIANS BLVD, STE 101
HARRISBURG, NC 28075
Cabarrus County (704) 455-6521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Martin's NPI number?

The NPI number for Stacey Martin is 1417945270. It was assigned to this individual provider in the NPPES registry on October 6, 2005. The provider is also known as Mrs. Stacey W Wyndham.

Where is Stacey Martin located?

Stacey Martin practices at 4315 Physicians Blvd Suite 101, Harrisburg, NC 28075. The listed phone number is (704) 455-6521.

What is Stacey Martin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stacey Martin was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.