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STACEY B. CARLTON MD PC NPI 1528248002


NPI Information

NPI: 1528248002
Provider Name: STACEY B. CARLTON, MD, PC

Doing Business As: INFINITY HEALTHCARE CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D2064323

Address:
229 INTERSTATE DR STE 15
CROSSVILLE, TN
ZIP 38555
Phone: (931) 981-9809
Get Directions

STACEY B. CARLTON, MD, PC is a family medicine in Crossville, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. STACEY B. CARLTON, MD, PC NPI is 1528248002. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Infinity Healthcare Center.

The provider's business location address is:

229 INTERSTATE DR STE 15
CROSSVILLE, TN
ZIP 38555-704
Phone: (931) 981-9809
Fax: (931) 456-2844

The provider's authorized official is Stacey B Carlton .
The authorized official title is Md and has the following contact phone number (931) 981-9809.

The CLIA number assigned to this NPI record is 44D2064323 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 10/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine25887TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13849058MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.