Active NPI
Julie Alison Stafford, PA-C
- Physician Assistant
- Clinton, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2681 Andersonville Hwy Ste 102
Clinton, TN 37716-6706 - Phone
- (706) 218-4895
- NPI assigned
- Apr 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2681 Andersonville Hwy Ste 102
Clinton, TN 37716-6706
Mailing address
2681 Andersonville Hwy Ste 102
Clinton, TN 37716-6706
Phone (706) 218-4895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220104002709 | TN | Practitioner - Physician Assistant | 8729479548 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 86.23
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4820 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Healthcare Group, PC | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| University Health System Inc | Current | Accepting new patients | |
| Trevecca Nazarene University | Past | Accepting new patients |
Locations
2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960
4307 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 524-1234
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570
Interoperability endpoints
- julie.stafford.1@25598.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Local Education Agency (LEA)
- Nashville, TN
- NPI 1033407952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1023690658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2681 ANDERSONVILLE HWY STE 102",
"city": "CLINTON",
"state": "TN",
"postal_code": "377166706",
"telephone_number": "706-218-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2681 ANDERSONVILLE HWY STE 102",
"city": "CLINTON",
"state": "TN",
"postal_code": "377166706",
"telephone_number": "706-218-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "JULIE",
"middle_name": "ALISON",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.