NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Stacy Anne Sullivan, D.D.S.

General Practice Dentistry in Yadkinville, NC · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306987631

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Registry record

Entity type Individual (Type 1)
Name Dr. Stacy Anne Sullivan
Credential D.D.S.
Sex Female
Practice address Yadkinville, NC, 27055
Phone (336) 849-7777
Enumeration date Feb 9, 2007
Last updated in NPPES Dec 14, 2010

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 8109 (NC) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
5902245 Medicaid NC -
3404399 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1306987631 active?
Yes, as of the latest NPPES snapshot, NPI 1306987631 is active (record last updated 2010-12-14).
How do I verify Stacy Sullivan's NPI record?
Cross-check NPI 1306987631 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-14.