NPIMap

Individual provider Active NPI

Stephanie C. Dunagan, M.D.

  • Family Medicine Physician
  • Paris, TN
National Provider Identifier
1669445839
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35276 Issued in TN
Practice address
430 S Lake St
Paris, TN 38242-4573
Phone
(731) 642-3024
Fax
(731) 642-3028
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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 35276 TN Primary

Addresses

Primary practice location

430 S Lake St
Paris, TN 38242-4573

Mailing address

430 S Lake St
Paris, TN 38242-4573
Phone (731) 642-3024

Other identifiers 2

IdentifierTypeStateIssuer
18983OtherTLC
4015654OtherBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000236 TN Practitioner - Family Practice 5991981516 Reassigns benefits to 1 organization
Practice locations: Paris, TN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Medicine and Surgery, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walter P. Griffey Jr MD PCGroup PAC ID 3476456443, 3 clinicians

Practice addresses (Care Compare)

430 S Lake St
Paris, TN 38242-4573
Phone (731) 642-3024

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
  • Extendicare Home Health of West TN Home health agency, Dyersburg, TN, CCN 447284
  • West Tennessee Healthcare Henry County Home Health Home health agency, Paris, TN, CCN 447499
  • Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
  • Henry County Medical Center Hospice Hospice, Paris, TN, CCN 441548
  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
  • West Tennessee Healthcare Camden Hospital Hospital, Camden, TN, CCN 441316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
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
35276TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walter P. Griffey Jr MD PC CurrentSince Apr 6, 2011 Accepting new patients

Locations

430 S Lake St
Paris, TN 38242
Phone (731) 336-7352

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Henry County Medical Center HospiceParis, TN, CCN 441548 Hospice Corporate Director (100%) Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1669445839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S LAKE ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424573",
            "telephone_number": "731-642-3024",
            "fax_number": "731-642-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S LAKE ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424573",
            "telephone_number": "731-642-3024",
            "fax_number": "731-642-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAGAN",
        "first_name": "STEPHANIE",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "35276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "18983",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4015654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.