Individual provider Active NPI

Julie Alison Stafford, PA-C

  • Physician Assistant
  • Clinton, TN
National Provider Identifier
1023690658
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Apr 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104002709 TN Practitioner - Physician Assistant 8729479548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4820TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Healthcare Group, PC CurrentSince Jan 1, 2023 Accepting new patients
University Health System, Inc CurrentSince Dec 1, 2023 Accepting new patients
University Health System Inc CurrentSince Dec 1, 2023 Accepting new patients
Trevecca Nazarene University PastSince Apr 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.