Stephanie P Little (NPI# 1902019409, PAC ID# 3476822917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902019409 |
| PAC ID by PECOS | 3476822917 |
| Professional Enrollment ID | I20170627001247 |
| Full Name | Stephanie P Little |
| Organization Legal Name | IREDELL PHYSICIAN NETWORK LLC |
| Address |
1668 Nc Hwy 16 S Taylorsville NC 28681-6285 |
| Phone Number | 7043605190 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749345007 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340143 | CATAWBA VALLEY MEDICAL CENTER |
| 340116 | FRYE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1668 Nc Hwy 16 S, Taylorsville, NC 28681-6285 | 7043605190 | IREDELL PHYSICIAN NETWORK LLC |
| Organization Legal Name | IREDELL PHYSICIAN NETWORK LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eva Imperial | Family Medicine | Iredell Physician Network LLC | 544 Brawley School Rd, Suite A, Mooresville, NC 28117-9393 |
| Hannah Fox Hefner | Physician Assistant | Iredell Physician Network LLC | 101 Wilkesboro St B, Mocksville, NC 27028-2321 |
| Christy R Millsaps | Physical Therapy | Iredell Physician Network LLC | 544 Brawley School Rd C, Mooresville, NC 28117-9393 |
| Joseph S Wolyniak | General Practice | Iredell Physician Network LLC | 128 E Plaza Dr, Suite 3, Mooresville, NC 28115-8000 |
| Elmer H Stout Iii | Internal Medicine | Iredell Physician Network LLC | 444 Williamson Rd, Suite B, Mooresville, NC 28117-9248 |
| Ruby A Grimm | Internal Medicine | Iredell Physician Network LLC | 738 Bryant St, Statesville, NC 28677-4189 |
| Kacie M Teeter | Physician Assistant | Iredell Physician Network LLC | 310 Davie Ave, Statesville, NC 28677-5319 |
| Rajal M Patel | Family Practice | Iredell Physician Network LLC | 544 Brawley School Rd A, Mooresville, NC 28117-9393 |
| John C Nicholson | Internal Medicine | Iredell Physician Network LLC | 728 Hartness Rd, Statesville, NC 28677-3425 |
| Malinda S Sherrill | Nurse Practitioner | Iredell Physician Network LLC | 3210 Harmony Hwy, Harmony, NC 28634-9161 |
| Street Address |
1668 NC HWY 16 S |
| City | TAYLORSVILLE |
| State | NC |
| Zip | 28681-6285 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew T Holland | Chiropractic | 92 Main Ave Dr, Taylorsville, NC 28681-2383 | |
| Mark T Freeman | Chiropractic | 365 Liledoun Rd, Taylorsville, NC 28681-2450 | |
| Wayne J Fenton | Chiropractic | 101 7th St Sw, Taylorsville, NC 28681-3105 | |
| Richard Woodrow Williams Iii | Chiropractic | 174 Bolick Ln, Suite 102, Taylorsville, NC 28681-4362 | |
| Mark Faruque | Family Medicine | Catawba Valley Medical Group Inc | 174 Bolick Ln, Suite 202, Taylorsville, NC 28681-4362 |
| Moriah A Specht | Nurse Practitioner | Catawba Valley Medical Group Inc | 174 Bolick Ln, Suite 202, Taylorsville, NC 28681-4362 |
| Carrie C Herman | Nurse Practitioner | Catawba Valley Medical Group Inc | 50 Macedonia Church Rd A, Taylorsville, NC 28681-8414 |
| Brent J Fischer | Chiropractic | 663 Nc Hwy 16 S, Taylorsville, NC 28681-9985 | |
| Jody D Papazekos | Optometry | 545 Nc Hwy 16 S, Taylorsville, NC 28681-9986 |
| City | TAYLORSVILLE |
| Zip Code | 28681 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TAYLORSVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.