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

Jacob Tyre Stancill

Individual provider Case Management Agency · NPI 1205399532

Jacob Tyre Stancill is a Case Management Agency in Lagrange, Georgia. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Phone: (706) 845-4045
Fax: (706) 845-4367
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1205399532
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 12, 2019
Mailing address122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754

Other providers in Lagrange