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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MACY CHASSEREAU MEDLOCK
NPI 1477407963
Nurse Anesthetist, Certified Registered in Winston Salem, NC

Active since February 23, 2026
525 VINE ST, WINSTON SALEM, NC 27101(336) 716-1411 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Macy Chassereau Medlock NPPES

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

MACY CHASSEREAU MEDLOCK (NPI 1477407963) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (382048) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1477407963
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMACY CHASSEREAU MEDLOCK
Location Address525 VINE STWinston Salem, NC 27101-4125
Mailing Address525 Vine StWinston Salem, NC 27101-4125 · (336) 716-1411
Phone(336) 716-1411
Sole ProprietorNo
Enumeration DateFebruary 23, 2026
Last NPPES UpdateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1477407963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 382048
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
525 VINE ST, Winston Salem, NC 27101
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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.

SAMUEL PARKER CONNELL
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
KATELYN PAIGE WATTERS
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
ALEXA KASS
Nurse Anesthetist, Certified Registered
525 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
LUCY WILLIAMS SHULER
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
MATTHEW TJAHJADI
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
MADELINE GRINER
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
LUCY HERNANDEZ
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
ERIN RIDDLE SRNA
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411

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 Macy Medlock's NPI number?

The NPI number for Macy Medlock is 1477407963. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Macy Medlock located?

Macy Medlock practices at 525 Vine St, Winston Salem, NC 27101. The listed phone number is (336) 716-1411.

What is Macy Medlock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Macy Medlock was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.