Gerald A Stagg, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G0549 Issued in TX

Practice address

2001 Mulberry Ave
Mount Pleasant, TX 75455-2362

Phone

(903) 577-7337

Fax

(903) 577-7336

NPI assigned

Oct 4, 2005

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Northeast Texas Pediatrics, PLLC

  • Pediatrics Physician
  • Mount Pleasant, TX
  • NPI 1215362710
  NPD (past) Authorized official

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1740277888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MULBERRY AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552362",
            "telephone_number": "903-577-7337",
            "fax_number": "903-577-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MULBERRY AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552362",
            "telephone_number": "903-577-7337",
            "fax_number": "903-577-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGG",
        "first_name": "GERALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G0549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130955102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Ann Snyder, CRNP
• Tania Soc, CFNP
• Dominique Spigner, DSW, LCSW, NSW-C
• Beverley Jean Springstead, P.A.
• Felicia Stacks, LPC
• Carrie Stansell
• Cynthia Stansell, LPC
• Brittany Kay Steen, BSN, RN
• Paul D. Stone, PHARM.D., R.PH.
• Victoria Lee Stretcher, SLP

• Pediatrics Physician in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.