Organization Active NPI

Stafford Family Care

  • Family Nurse Practitioner
  • Powell, TN
National Provider Identifier
1477121168
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
STAFFORD FAMILY CARE
Practice address
7317 Clinton Hwy Ste 101
Powell, TN 37849-5209
Phone
(865) 340-6346
Fax
(865) 999-1353
NPI assigned
Jun 17, 2021
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Glen Stafford
Title
VP / Operations Manager
Phone
(802) 922-0893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

7317 Clinton Hwy Ste 101
Powell, TN 37849-5209

Mailing address

7317 Clinton Hwy Ste 101
Powell, TN 37849-5209
Phone (865) 340-6346

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2154389Stafford Family Care7317 Clinton Hwy, Powell, TN 37849Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Locations

2319 W Emory Rd
Powell, TN 37849
Phone (865) 947-3797

7317 Clinton Hwy
Ste 101
Powell, TN 37849
Phone (865) 340-6346

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1477121168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 CLINTON HWY STE 101",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495209",
            "telephone_number": "865-340-6346",
            "fax_number": "865-999-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 CLINTON HWY STE 101",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495209",
            "telephone_number": "865-340-6346",
            "fax_number": "865-999-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "VP / OPERATIONS MANAGER",
        "authorized_official_telephone_number": "802-922-0893"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.