1. Home
  2. Directory
  3. Tennessee
  4. Jackson
  5. Physician Assistant
  6. NPI Profile

ERICK STAFFORD PA-C
NPI 1053067405
Physician Assistant in Jackson, TN

Active since February 24, 2022PECOS Enrolled
30 SANDSTONE CIR, JACKSON, TN 38305(731) 240-1695(731) 240-1694 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2022, Feb 24, 2022 (2 updates tracked since 2022).

About Erick Stafford Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICK STAFFORD PA-C (NPI 1053067405) is an individual physician assistant in Jackson, Tennessee, licensed in Tennessee (1191813) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cordova.

NPPES Registry Identity

NPI1053067405
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameERICK STAFFORDCredential: PA-C
Location Address30 SANDSTONE CIRJackson, TN 38305-2073
Mailing Address9036 Weeping Cherry LnCordova, TN 38016-5373 · (813) 796-2200
Phone(731) 240-1695
Fax(731) 240-1694
Sole ProprietorNo
Enumeration DateFebruary 24, 2022
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1053067405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 1191813
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1191813 (TN)
30 SANDSTONE CIR, Jackson, TN 38305
Open in Google Maps ↗

Secondary Practice Location 1

Location 19036 Weeping Cherry LnCordova, TN 38016-5373 · Phone (813) 796-2200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erick Stafford Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL WELLNESS LIFESTYLE MEDICINE
Preventive Medicine (Public Health & General Preventive Medicine)
30 SANDSTONE CIR
JACKSON, TN 38305
Madison County (731) 217-6313
DR. SYLVESTER AGORUA NWEDO MD
Psychiatry & Neurology (Psychiatry)
30 SANDSTONE CIR
JACKSON, TN 38305
Madison County (731) 240-1695
MARKISHA HOLLANDS-PEOPLES FNP
Nurse Practitioner
30 SANDSTONE CIR
JACKSON, TN 38305
Madison County (615) 717-8404
CHISOM C OKPARA
Nurse Practitioner (Psychiatric/Mental Health)
30 SANDSTONE CIR
JACKSON, TN 38305
Madison County (731) 240-1695
HOPEFIELD MENTAL HEALTH FOUNDATION, INC
Psychiatry & Neurology (Psychiatry)
30 SANDSTONE CIR
JACKSON, TN 38305
Madison County (731) 240-1695
VERONICA MORROW LCSW
Social Worker (Clinical)
30 SANDSTONE CIR
JACKSON, TN 38305
Madison County (731) 240-1695
HOPEFIELD HEALTHCARE SERVICES PLLC
Psychiatry & Neurology (Addiction Medicine)
30 SANDSTONE CIR
JACKSON, TN 38305
Madison County (731) 240-1695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erick Stafford's NPI number?

The NPI number for Erick Stafford is 1053067405. It was assigned to this individual provider in the NPPES registry on February 24, 2022.

Where is Erick Stafford located?

Erick Stafford practices at 30 Sandstone Cir, Jackson, TN 38305. The listed phone number is (731) 240-1695.

What is Erick Stafford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Erick Stafford enrolled in Medicare?

Yes. Erick Stafford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erick Stafford was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.