Gary Lee Stafford, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

BS4671966 Issued in TN

Practice address

550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772-5673

Phone

(865) 271-6035

Fax

(865) 271-6262

NPI assigned

Jun 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency MedicineAlso: Family Practice

Education

University of Alabama School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068
• Livingston Regional Hospital Hospital, Livingston, TN, CCN 440187

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, GA

  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Harmony Grove Emergency Physicians LLC

  • Emergency Medicine Physician
  • Riverdale, GA
  • NPI 1093331308
  NPD (past)
• Harmony Grove Emergency Physicians LLC

  • Emergency Medicine Physician
  • Commerce, GA
  • NPI 1144495797
  NPD (past)
• North Georgia Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Ellijay, GA
  • NPI 1336172923
  NPD (past)
• Wendy L Smith M.D. PC

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1184880338
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Regional Medical Center LLC

  dba Starr Regional Medical Center

  • General Acute Care Hospital
  • Athens, TN
  • NPI 1669567319
  Care Compare affiliation
• Livingston Regional Hospital LLC

  dba Livingston Regional Hospital

  • Rural Acute Care Hospital
  • Livingston, TN
  • NPI 1396760542
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245272400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ANTIOCH CHURCH RD W",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725009",
            "telephone_number": "865-986-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FORT LOUDOUN MEDICAL CENTER DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725673",
            "telephone_number": "865-271-6035",
            "fax_number": "865-271-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "GARY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "27430",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "BS4671966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3079249",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098382",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smoky Mountain Hearing Specialists 2 LLC (East Tennessee Audiology)
• Smoky Mountain Pediatric Dentistry, PLLC
• Caitlin Smyth
• Maria Guadalupe Soto Tinoco
• David Bernard Staab, M.D.
• Latonya Marie Stanley, LCSW
• Richard E Stanley, M.D.
• Kelly Alexis Steely, CNP
• Gregory Todd Stevens
• Ann Stewart, OTR

• Emergency Medicine Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.