Travis Elcaney Stanley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6537 Issued in TN

Practice address

PO Box 4096
Oneida, TN 37841-4096

Phone

(423) 223-3658

NPI assigned

May 23, 2025

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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

East Tennessee State University Quillen College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gardner Medical Service LLCGroup PAC ID 8820327349, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Gardner Medical Service, LLC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1932767480

  TN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1881487783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4096",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378414096",
            "telephone_number": "423-223-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 4096",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378414096",
            "telephone_number": "423-223-3658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 Travis Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372113704",
            "country_code": "US",
            "telephone_number": "615-834-3123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "TRAVIS",
        "middle_name": "ELCANEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Psychiatric Services
• Jeffrey Lee Spradlin, OTR
• St. Mary'S Medical Center of Scott County, Inc.
• St. Mary'S Medical Center of Scott County, Inc.
• St. Mary'S Medical Center of Scott County, Inc.
• Stewart'S Transportation Inc.
• Misti Dawn Strunk
• Whitney D Swain, B.A.
• Robert Edward Sweet Jr., M.A.
• Stanley Mark Swindell, MD

• All providers in Oneida, TN
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.