DR. STACEY WAGGONER EMT-A
NPI 1174146732
Emergency Medical Technician, Intermediate in Newnan, GA

Q: What is Stacey Waggoner's NPI number?

The NPI number for Stacey Waggoner is 1174146732. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Q: What is Stacey Waggoner's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Waggoner was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 18, 2020

4 VALLEY STREAM LN, NEWNAN, GA 30263(678) 378-3195 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Stacey Waggoner Emt-a NPPES

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

DR. STACEY WAGGONER EMT-A (NPI 1174146732) is an individual emergency medical technician, intermediate provider in Newnan, Georgia, licensed in Georgia (A001035) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1174146732

Entity TypeIndividualFemale

Primary Taxonomy146M00000X

Provider Legal NameDR. STACEY WAGGONERCredential: EMT-A

Location Address4 VALLEY STREAM LNNewnan, GA 30263-2912

Mailing Address4 Valley Stream LnNewnan, GA 30263-2912 · (678) 373-9865

Phone(678) 378-3195

Sole ProprietorNo

Enumeration DateMay 18, 2020

NPPES CertifiedMay 18, 2020

✔ NPI 1174146732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers

Taxonomy Code146M00000X

License✔ Licensed in GA · A001035

Definition

An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

4 VALLEY STREAM LN, Newnan, GA 30263

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Other Providers at the Same Location NPPES

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

TOODOCS, LLC

Personal Emergency Response Attendant

4 VALLEY STREAM LN
NEWNAN, GA 30263

Coweta County (678) 378-3195

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 Stacey Waggoner's NPI number?

The NPI number for Stacey Waggoner is 1174146732. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Stacey Waggoner located?

Stacey Waggoner practices at 4 Valley Stream Ln, Newnan, GA 30263. The listed phone number is (678) 378-3195.

What is Stacey Waggoner's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Stacey Waggoner was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.