Stafford Services of Coastal Georgia LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

STAFFORD SERVICES OF COASTAL GEORGIA LLC

Practice address

185 Richard Davis Dr Ste 105
Richmond Hill, GA 31324-3978

Phone

(833) 779-3825

NPI assigned

May 28, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Candace M. Stafford, PSY.D.NPI 1245261627

Title

Lead Psychologist

Phone

(833) 779-3825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace M Stafford, PSYD

  • Clinical Psychologist
  • Richmond Hill, GA
  • NPI 1245261627
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1104619329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1943",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313241943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 RICHARD DAVIS DR STE 105",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243978",
            "telephone_number": "833-779-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD SERVICES OF COASTAL GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LEAD PSYCHOLOGIST",
        "authorized_official_telephone_number": "833-779-3825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Shores Pharmacy, LLC
• Southside OB/GYN, P.C.
• Anna Franklin Spelts
• Roxanne M Johnson Spencer, CNM
• Allison Jean Springston, PA-C
• Candace M Stafford, PSYD
• Kavita Evani Starr
• Karissa Starrett, HAS
• Miranda Faith Stefanko
• Richard Lane Steinbach

• Clinical Psychologist in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.