Provider Demographics
NPI:1528564531
Name:STEWART, STACY ARRINGTON (DO)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:ARRINGTON
Last Name:STEWART
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BAYLOR SCOTT & WHITE MEDICAL CENTER- ROUND ROCK
Mailing Address - Street 2:425 UNIVERSITY BLVD, SUITE 300, MS-M2 3.005
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665
Mailing Address - Country:US
Mailing Address - Phone:512-244-5729
Mailing Address - Fax:
Practice Address - Street 1:900 TOWNE LAKE PKWY STE 210
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-1603
Practice Address - Country:US
Practice Address - Phone:770-592-2300
Practice Address - Fax:770-592-2040
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA88054207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program