Active NPI
Johnny Winfred Staggs
- Counselor
- Columbia, TN
National Provider Identifier
1780873166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 115 Dyer St
Suite 1
Columbia, TN 38401-4551 - Phone
- (931) 560-4239
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
115 Dyer St
Suite 1
Columbia, TN 38401-4551
Mailing address
1031 Highway 100
Apt 8
Centerville, TN 37033-1199
Phone (931) 994-2812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1780873166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 HIGHWAY 100",
"address_2": "APT 8",
"city": "CENTERVILLE",
"state": "TN",
"postal_code": "370331199",
"telephone_number": "931-994-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 DYER ST",
"address_2": "SUITE 1",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014551",
"telephone_number": "931-560-4239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGGS",
"first_name": "JOHNNY",
"middle_name": "WINFRED",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.