NPIMap

Individual provider Active NPI

James G Staggs, D.O.

  • Family Medicine Physician
  • Cookeville, TN
National Provider Identifier
1821107574
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO0000000995 Issued in TN
Practice address
753B Humble Dr
Cookeville, TN 38501-3777
Phone
(931) 520-1800
Fax
(931) 520-1844
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 DO0000000995 TN Primary

Addresses

Primary practice location

753B Humble Dr
Cookeville, TN 38501-3777

Mailing address

753 Humble Dr Ste B
Cookeville, TN 38501-4202
Phone (931) 520-1800

Other identifiers 2

IdentifierTypeStateIssuer
3083924OtherTNBCBS PROVIDER NUMBER
621531056OtherTNTAX ID

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
I20050618000083 TN Practitioner - Osteopathic Manipulative Medicine 4486698586 Practice locations: Cookeville, TN

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

753 Humble Dr
Suite B
Cookeville, TN 38501-4202
Phone 93152018001

Hospital & facility affiliations

  • Quality Home Health Home health agency, Jamestown, TN, CCN 447406
  • Amedisys Home Health Home health agency, Livingston, TN, CCN 447260
  • Cookeville Regional Home Health Home health agency, Cookeville, TN, CCN 447131
  • NHC Homecare Murfreesboro Home health agency, Murfreesboro, TN, CCN 447114
  • Suncrest Home Health Home health agency, Smithville, TN, CCN 447176
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Merit-based Incentive Payment System (MIPS)

Final score
93.27 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO0000000995TNMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: james.staggs.1@28143.direct.athenahealth.com

Hospital & facility affiliations 11

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1821107574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 HUMBLE DR STE B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014202",
            "telephone_number": "931-520-1800",
            "fax_number": "931-520-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753B HUMBLE DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013777",
            "telephone_number": "931-520-1800",
            "fax_number": "931-520-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGS",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000000995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "3083924",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "621531056",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.