STATON SOUTHERN MEDICAL, PLLC
NPI 1295033595
Family Medicine in Carthage, TN
About Staton Southern Medical, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATON SOUTHERN MEDICAL, PLLC (NPI 1295033595) is a healthcare organization registered as a family medicine in Carthage, Tennessee and active in the NPI registry since March 2011. The organization lists Brent D Staton, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Staton Southern Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Staton Southern Medical, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Staton Southern Medical, PLLC's NPI number?
The NPI number for Staton Southern Medical, PLLC is 1295033595. It was assigned to this organization in the NPPES registry on March 10, 2011.
Where is Staton Southern Medical, PLLC located?
Staton Southern Medical, PLLC is located at 131 Hospital Drive Suite 2000, Carthage, TN 37030. The listed phone number is (423) 364-4817.
What is Staton Southern Medical, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Staton Southern Medical, PLLC enrolled in Medicare?
Yes. Staton Southern Medical, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Staton Southern Medical, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Staton Southern Medical, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Staton Southern Medical, PLLC was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Staton Southern Medical, Pllc · NPI 1295033595
Family Medicine organization in Carthage, Tennessee. Organization record, active in the CMS NPPES registry since March 10, 2011.
## Identity
- **NPI:** 1295033595 (Entity type: Organization)
- **Enumerated:** March 10, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brent Staton, PHYSICIAN
## Practice location
- **Address:** 131 HOSPITAL DRIVE, SUITE 2000, Carthage, TN 37030
- **Phone:** (423) 364-4817
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1295033595) · Data from the CMS NPPES public registry.