JOHN R STALEY JR. MD
NPI 1700815396
Emergency Medicine in Harriman, TN

Q: What is John Staley's NPI number?

The NPI number for John Staley is 1700815396. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is John Staley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for John Staley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 03, 2006PECOS Enrolled

412 DEVONIA ST, HARRIMAN, TN 37748(865) 882-1323(865) 291-3228 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John R Staley Jr. Md NPPES

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

JOHN R STALEY JR. MD (NPI 1700815396) is an individual emergency medicine provider in Harriman, Tennessee, licensed in Tennessee (013010) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700815396

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJOHN R STALEY JR.Credential: MD

Location Address412 DEVONIA STHarriman, TN 37748-2009

Mailing Address2202 Lyons Bend RdKnoxville, TN 37919-8930

Phone(865) 882-1323

Fax(865) 291-3228

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700815396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TN · 013010

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

412 DEVONIA ST, Harriman, TN 37748

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Other Identifiers 2

Medicare UPIND32188TN

Medicare ID-Type Unspecified3334375TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John R Staley Jr. 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 37748 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

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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 17

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

ROANE MEDICAL CENTER

Hospitalist