Individual provider Active NPI

Staci Kerr Stalcup, MD

  • Family Medicine Physician
  • Seymour, TN
National Provider Identifier
1487652699
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD38363 Issued in TN
Practice address
11606 Chapman Hwy
Ste 2
Seymour, TN 37865-5270
Phone
(865) 609-6980
Fax
(865) 609-6982
NPI assigned
Jul 12, 2005
Last updated
Feb 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD38363 TN Primary

Addresses

Primary practice location

11606 Chapman Hwy
Ste 2
Seymour, TN 37865-5270

Mailing address

PO Box 440014
Nashville, TN 37244-0014
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
33277201MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228001004 TN Practitioner - Family Practice 0840243044 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

11606 Chapman Hwy
Suite 2And3
Seymour, TN 37865-5270
Phone (865) 609-6980

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 544-9740

Hospital & facility affiliations

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD38363TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Primary Care LLC CurrentSince Aug 1, 2025 Accepting new patients
University Health System Inc CurrentSince Mar 17, 2008 Accepting new patients
Uhs Primary Care LLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
East Tennessee Addiction Specialists CurrentSince Jul 1, 2023 Accepting new patients
Uhs Primary Care LLC Current Accepting new patients
University Health System, Inc Current Accepting new patients
Ut Urgent Care Centers LLC Family Medicine CurrentSince Dec 3, 2020 Accepting new patients
University Health System, Inc Family Medicine CurrentSince Mar 17, 2008 Accepting new patients
Cherokee Health Systems Family Medicine Past Accepting new patients
East Tennessee Medical Group, PC Family Medicine Past Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

9301 Park West Blvd
Ste B4
Knoxville, TN 37923

9625 Kroger Park Dr
Ste 300
Knoxville, TN 37922
Phone (865) 539-2287

5779 Creekwood Park Blvd
Ste 220
Lenoir City, TN 37772
Phone (865) 988-6330

111 Station Dr
Maryville, TN 37804
Phone (865) 388-2341

111 Station Dr
Bldg 3
Maryville, TN 37804
Phone (865) 268-4360

2036 Chilhowee Medical Park
Maryville, TN 37804
Phone (865) 268-4360

3606 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 587-4107

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

11606 Chapman Hwy
Ste 2
Seymour, TN 37865
Phone (865) 579-7580

11606 Chapman Hwy
Ste 23
Seymour, TN 37865
Phone (865) 609-6980

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1487652699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440014",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440014",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 CHAPMAN HWY",
            "address_2": "STE 2",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655270",
            "telephone_number": "865-609-6980",
            "fax_number": "865-609-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALCUP",
        "first_name": "STACI",
        "middle_name": "KERR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD38363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33277201",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

Verify at the official NPI Registry.