Abbott Staggs

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

511 W Butler Rd
Greenville, SC 29607-4890

Phone

(864) 757-9918

Fax

(864) 757-9921

NPI assigned

Feb 5, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1639318249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GERALD DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814111",
            "telephone_number": "864-920-2527",
            "fax_number": "864-757-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074890",
            "telephone_number": "864-757-9918",
            "fax_number": "864-757-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 LinDo Court",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "29154",
            "country_code": "US",
            "telephone_number": "803-905-4427",
            "fax_number": "803-905-4431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGGS",
        "first_name": "ABBOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BA1027",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Stacher, MD
• Jason Andrew Stack, D.M.D.
• Jesse Ray Stafford, M.D.
• Nikki S Stafford, OT
• Cynthia Stageberg
• Justine L Stahl, CNRA
• Jennifer Lee Stallworth, MS, CGC
• Christopher J. Stamey, PT
• Michael Dean Stamm, M.D.
• Andi Nicole Stamper, CRNA

• Behavior Analyst in Greenville, SC
• Providers in Greenville, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.