Stacie Smith Cockerham · Nurse Practitioner

601 N Elm St, High Point, NC 27262-4331

Overview

Stacie Smith Cockerham is a Nurse Practitioner practicing in High Point, North Carolina. The National Provider Identifier (NPI) is #1306438304, which was assigned on February 10, 2021, and the registration record was last updated on December 29, 2025. The practitioner's main practice location is at 601 N Elm St, High Point, NC 27262-4331; the contact telephone number is 3368786000, and the fax number is 3368786010. The primary taxonomy of Stacie Smith Cockerham is Nurse Practitioner (363L00000X). Stacie Smith Cockerham is licensed to practice in the state of North Carolina (#5014106).

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Provider Information

NPI 1306438304
Entity Type Individual
Provider Name STACIE SMITH COCKERHAM
Gender Female
Credential NP
Practice Address 601 N Elm St
High Point
NC 27262-4331
Practice Telephone 3368786000
Practice Fax Number 3368786010
Mailing Address 100 Kimel Forest Dr
Winston Salem
NC 27103-6074
Mailing Telephone 3367162255
Certification Date 2025-12-29
Enumeration Date 2021-02-10
Last Update Date 2025-12-29
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 8527474766
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name STACIE SMITH COCKERHAM
Primary Specialty NURSE PRACTITIONER
Organization Legal Name FORSYTH MEMORIAL HOSPITAL INC
Address 175 Kimel Park Dr
Winston Salem
NC 27103-6951

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363L00000XNurse Practitioner5014106NC

Secondary Practice Locations

AddressTelephoneFax
190 Kimel Park Dr Ste 155, Winston Salem, NC 27103694633676566373367656964
3333 Silas Creek Pkwy, Winston Salem, NC 27103301333671872243367187598
612 Mocksville Ave, Salisbury, NC 28144273270421052607042105265
Medical Center Blvd, Winston Salem, NC 2715700013362421812

Taxonomy Information

Primary Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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Location Information

Street Address 601 N ELM ST
City HIGH POINT
State NC
Zip Code 27262-4331
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Daniel Christopher Scozzari 601 N Elm St, High Point, NC 27262-4331Pharmacist2024-12-13
Emily A Banks 601 N Elm St, High Point, NC 27262-4331Critical Care Medicine Registered Nurse2025-02-10
Andrew Cartwright 601 N Elm St, High Point, NC 27262-4331Pharmacist2024-11-14
Sean Devin Reyes 601 N Elm St, High Point, NC 27262-4331Physician Assistant2021-07-28
Christopher Adams 601 N Elm St, High Point, NC 27262-4331Registered Respiratory Therapist2025-12-05
Rachael Morales 601 N Elm St, High Point, NC 27262-4331Gerontology Nurse Practitioner2025-07-03
Leona Satchwell 601 N Elm St, High Point, NC 27262-4331Medical-Surgical Registered Nurse2026-04-21
Lorrie Nicole Lemons 601 N Elm St, High Point, NC 27262-4331Emergency Registered Nurse2025-11-27
Krisha Vipulkumar Shah 601 N Elm St, High Point, NC 27262-4331Medical Physician Assistant2024-08-29
Amanda Creed Chilton 601 N Elm St, High Point, NC 27262-4331Registered Nurse2024-10-02
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kelli Danielle Truss 601 N. Elm Street, High Point, NC 27262-4331Internal Medicine Physician2007-05-23

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kimberly Beck Soban 200 W. Parkway Avenue, High Point, NC 27262Mental Health Clinic/Center (Including Community Mental Health Center)2009-07-30
Zackary Daniel Rogers 1814 Westchester Dr #301, High Point, NC 27262Physician Assistant2017-10-11
Melody Ruth Brown Hoyle 278 Richard Byerly Road, 280 Richard Byerly Road, High Point, NC 27262Massage Therapist2024-09-06
Regional Physicians LLC 404 Westwood Ave Ste 101, High Point, NC 27262Clinical Medical Laboratory2008-12-18
Publix North Carolina, Lp 2005 N Main St., Suite 101, High Point, NC 27262Durable Medical Equipment & Medical Supplies2017-02-24
Optics, Inc. 1105 Lindsay Street, High Point, NC 27262Durable Medical Equipment & Medical Supplies2014-12-29
Kimberly Michelle Rymers 2005 N Main St, Suite 101, High Point, NC 27262Pharmacist2017-08-01
World Relief Corp of National Association of Evangelicals 155 Northpoint Avenue, Suite 102, High Point, NC 27262Marriage & Family Therapist2018-12-16
Walgreen Co 1691 Westchester Dr, High Point, NC 27262Durable Medical Equipment & Medical Supplies2017-08-24
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.