Stacey B Carlton, M.D.
Individual provider Active NPI Family Medicine Physician · Crossville, TN
NPI 1619976941 · NPPES record last updated Nov 8, 2024
Key facts
- NPI
- 1619976941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25887 (TN)
- Practice address
- 229 Interstate Dr Ste 105
Crossville, TN 38555-2704 - Phone
- (931) 981-9809
- Fax
- (931) 456-2844
- NPI assigned
- Jul 19, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- East Tennessee State University Quillen College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
229 Interstate Dr
Suite 105
Crossville, TN 38555-2704
Phone (931) 981-9809
Hospital & facility affiliations
- Amedisys Home Health
- Gentiva
- Cumberland Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 15 |
| Removal of skin lesions | 46 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050927001556 | TN | Practitioner - Family Practice |
5395705552 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25887 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Hospitalist Group, LLC | Current | Accepting new patients | |
| Emergency Coverage, LLC | Family Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians LLC | Current |
Accepting new patients | |
| Stacey B. Carlton, MD, PC | Family Medicine | Current |
Accepting new patients |
| Exac Care, PLLC | Family Medicine | Current |
Accepting new patients |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
133 Hayes St
Crossville, TN 38555
Phone (931) 456-9434
229 Interstate Dr
Ste 105
Crossville, TN 38555
Phone (931) 250-5230
229 Interstate Dr
Ste 103
Crossville, TN 38555
Phone (931) 210-5577
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
1645 S Main St
Crossville, TN 38555
Phone (931) 484-2220
436 Central Ave W
Jamestown, TN 38556
Phone (931) 752-5762
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
Interoperability endpoints
- stacey.carlton.1@16055.direct.athenahealth.com
- stacey.carlton.1@16113.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25887 | TN | Yes |
Addresses
Primary practice location
229 Interstate Dr Ste 105
Crossville, TN 38555-2704
Mailing address
229 Interstate Dr
Ste 105
Crossville, TN 38555-2704
Phone (931) 981-9809
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3849058 | Medicaid | TN |
Other providers in Crossville, TN
- Jeremy A Campbell
- Sharon Campbell
- Victoria Campbell
- Catherine Nan Cardwell
- Caris Healthcare
- Douglas Ray Carpenter Jr.
- Julie E. Carson
- Mary Christina Carter
- Cataract and Laser Center, LLC
- Catron Skin Care Center, PC
All providers in Crossville, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.