Margie A Stafford, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN 6195 Issued in TN

Practice address

600 N Murray St
Jackson County Health Dept
Gainesboro, TN 38562-9313

Phone

(931) 268-0218

Fax

(931) 268-0872

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJCECD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Tennessee

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315

  TN

  Medicare reassignment NPD
• The Cookeville Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Cookeville, TN
  • NPI 1831283860
  NPD (past)
• Upper Cumberland Otolaryngology Clinic, PC

  • Specialist
  • Cookeville, TN
  • NPI 1598821464
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1649376609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ENGLAND DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010924",
            "telephone_number": "931-528-7531",
            "fax_number": "931-520-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MURRAY ST",
            "address_2": "JACKSON COUNTY HEALTH DEPT",
            "city": "GAINESBORO",
            "state": "TN",
            "postal_code": "385629313",
            "telephone_number": "931-268-0218",
            "fax_number": "931-268-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "MARGIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN 6195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Allison Miller, D.D.S.
• Courtney Roberts
• Kursten McKenzie Roop, RN
• Heather Stafford
• Kelsie Stafford
• State of Tennessee
• Erin Kate Stooksbury
• The Grove Family Wellness LLC
• Thomas J Mabry & Associates
• Thomas J Mabry & Associates, Inc.

• All providers in Gainesboro, TN
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.