Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stacey Waggoner, EMT-A

Individual provider Intermediate Emergency Medical Technician · NPI 1174146732

Dr. Stacey Waggoner, EMT-A is an Intermediate Emergency Medical Technician in Newnan, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

4 Valley Stream Ln
Newnan, GA 30263-2912
Phone: (678) 378-3195
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intermediate Emergency Medical Technician (primary) Taxonomy 146M00000X · Licence A001035 (GA)

Record details

NPI number1174146732
Entity typeIndividual (Type 1)
GenderFemale
Credentials EMT-A
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020