Tara Tanksley Stallings, MA PC , CCL

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1734 Jenkins St
Augusta, GA 30904-3736

Phone

(706) 294-9924

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1861007064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 JEANINE WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092169",
            "telephone_number": "706-294-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 JENKINS ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043736",
            "telephone_number": "706-294-9924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Jeanine Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309092169",
            "country_code": "US",
            "telephone_number": "706-294-9924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "TARA",
        "middle_name": "TANKSLEY",
        "name_prefix": "Ms.",
        "credential": "MA PC , CCL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tara@taratstallingsinc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1734 Jenkins St",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309043736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter Joseph Stager, M.D.
• Ashton Leigh Stallings, PA-C
• Judith Stallings, PA
• Mira Nicole Stallings, MS, BCBA
• Richard Patrick Stallings, MD
• Whitney Leigh Stallings, RN
• Clay N Stallworth, MD
• Leila E Stallworth, MD
• Thomas Stan, MD
• Barbara Ellen Cofer Stancil, PA-C

• Counselor in Augusta, GA
• Providers in Augusta, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.