Doctor profile · Federal record

Dr. STACIA CHEADLE, PA-C

Physician Assistant · MATTHEWS, NC

  • NPI 1891044574
  • 14 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
9600 E INDEPENDENCE BLVD
MATTHEWS, NC 28105
(704) 815-5624
fax (704) 815-5621
Additional location
1918 Randolph Rd
Charlotte, NC 282071100
(704) 316-1050
fax (704) 316-1051
Mailing address
PO BOX 601843
CHARLOTTE, NC 282601843

Credentials & registration

NPPES · NUCC
NPI registered
September 2012 — 14 yrs on file
Profile last updated
October 28, 2020
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Illinois #085004419

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1891044574. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$28
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
CooperSurgical, Inc. 1 $13.97
Minerva Surgical, Inc 1 $13.65

By nature of payment

Food and Beverage
$28

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 19, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›