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CHARLES TANNER STAFFORD MD
NPI 1104074699
Obstetrics & Gynecology - Gynecology in Bainbridge, GA

Active since September 09, 2008PECOS Enrolled
119 N. DONALSON ST., SUITE B, BAINBRIDGE, GA 39817(229) 220-0780 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Tanner Stafford Md NPPES

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

CHARLES TANNER STAFFORD MD (NPI 1104074699) is an individual gynecology provider in Bainbridge, Georgia, licensed in Georgia (017767) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104074699
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameCHARLES TANNER STAFFORDCredential: MD
Location Address119 N. DONALSON ST., SUITE BBainbridge, GA 39817
Mailing Address119 N. Donalson St., Suite BBainbridge, GA 39817 · (229) 220-0780
Phone(229) 220-0780
Sole ProprietorYes
Enumeration DateSeptember 9, 2008
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1104074699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in GA · 017767
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
119 N. DONALSON ST., Bainbridge, GA 39817
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Other Identifiers 1

Medicare UPIND42298

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Tanner Stafford Md 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 39817 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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 Charles Stafford's NPI number?

The NPI number for Charles Stafford is 1104074699. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Charles Stafford located?

Charles Stafford practices at 119 N. Donalson St. Suite B, Bainbridge, GA 39817. The listed phone number is (229) 220-0780.

What is Charles Stafford's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Charles Stafford enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Stafford was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.