Erick Stafford, PA-C
NPI 1053067405 · Physician Assistant · Jackson, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Erick Stafford, PA-C is a Physician Assistant provider in Jackson, TN (NPI 1053067405).
Provider details
- NPI number
- 1053067405
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 1191813 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9036 Weeping Cherry LnCordova, TN 38016-5373Phone: (813) 796-2200
Registry dates
- Enumerated
- 2022-02-24
- Last updated
- 2022-03-03
- Certified
- 2022-03-03
Frequently asked questions
- What is Erick Stafford's NPI number?
- Erick Stafford's National Provider Identifier (NPI) is 1053067405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Erick Stafford's specialty?
- Erick Stafford is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Erick Stafford located?
- Erick Stafford's practice location on file with NPPES is 30 Sandstone Cir, Jackson, TN 38305-2073.
- What is Erick Stafford's phone number?
- The practice phone number listed in the NPPES registry for Erick Stafford is (731) 240-1695.
- Does Erick Stafford accept Medicare?
- Erick Stafford is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Erick Stafford's NPI active?
- Yes — Erick Stafford's NPI (1053067405) is active in the NPPES registry as of the last update on 2022-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.