Individual provider Active NPI

Stacey B Carlton, M.D.

  • Family Medicine Physician
  • Crossville, TN
National Provider Identifier
1619976941
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25887 Issued in 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
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 25887 TN Primary

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

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
I20050927001556 TN Practitioner - Family PracticePractitioner - Emergency Medicine 5395705552 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions46
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25887TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC CurrentSince Sep 19, 2023 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Aug 2, 2005 Accepting new patients
Exac Care, PLLC Family Medicine CurrentSince May 1, 2012 Accepting new patients
Stacey B. Carlton, MD, PC Family Medicine CurrentSince Dec 1, 2000 Accepting new patients
CMC Hospitalist Group, LLC Current Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Emcare Physician Providers, Inc. 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

1645 S Main St
Crossville, TN 38555
Phone (931) 484-2220

229 Interstate Dr
Ste 103
Crossville, TN 38555
Phone (931) 210-5577

229 Interstate Dr
Ste 105
Crossville, TN 38555
Phone (931) 250-5230

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

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

  • Direct secure messaging: stacey.carlton.1@16055.direct.athenahealth.com
  • Direct secure messaging: stacey.carlton.1@16113.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1619976941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 INTERSTATE DR",
            "address_2": "STE 105",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552704",
            "telephone_number": "931-981-9809",
            "fax_number": "931-456-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 INTERSTATE DR STE 105",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552704",
            "telephone_number": "931-981-9809",
            "fax_number": "931-456-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "STACEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "25887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.