NPI age
6 years
Enumerated 2020-05-18
● Active
Type 1 · Individual
DR. Stacey Waggoner, EMT-A
Waggoner is 1 of 1 emergency medical technician, intermediate providers in Newnan and 1 of 35 in Georgia.
Primary specialty
Emergency Medical Technician, Intermediate
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-05-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 35 active emergency medical technician, intermediate providers in Georgia.
NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-05Enumerated in NPPES
2020
2026
Where they practice
Practice location
4 Valley Stream Ln
Newnan, GA 302632912
Mailing address
4 Valley Stream Ln
Newnan, GA 302632912
Specialties
-
Emergency Medical Technician, Intermediate PrimaryAn Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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