IndividualActive

Stacey Peterson-Carmichael, M.D.

NPI 1316152127 · Pediatric Pulmonology Physician · Winston Salem, NC

Provider details

NPI number: 1316152127
Entity type: Individual
Primary specialty: Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: No
License: 2004-00573 (NC)

Pediatric Pulmonology PhysicianPrimary2080P0214XLicense 2004-00573 (NC)
Allopathic & Osteopathic Physicians
Pediatric Critical Care Medicine Physician2080P0203XLicense 01073456 (IN)
Allopathic & Osteopathic Physicians
Pediatric Pulmonology Physician2080P0214XLicense 01073456 (IN)
Allopathic & Osteopathic Physicians
Critical Care Medicine (Anesthesiology) Physician207LC0200XLicense 01073456 (IN)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense 2004-00573 (NC)
Allopathic & Osteopathic Physicians

Medical Center Blvd

Winston Salem, NC 27157-0001

Phone: (336) 713-4500

Fax: (336) 713-4501

Approximate (ZIP-level) locationGet directions

100 Kimel Forest Dr

Winston Salem, NC 27103-6074

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.