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

Jon L Stanford, MD

Individual provider Specialist · NPI 1336193200

Jon L Stanford, MD is a General Surgery in Carrollton, Georgia. Graduated from Ohio State University College of Medicine in 1996, 30 years ago. Practices with Tanner Medical Group Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
30
Trained at
Ohio State University College of Medicine
Licensed in
GA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

119 Ambulance Dr # DT Ste 202
Carrollton, GA 30117-3857
Phone: (770) 834-3336
Fax: (770) 832-2331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 065186 (GA)
Specialist Taxonomy 174400000X · Licence 24016 (SC)

Record details

NPI number1336193200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESAugust 8, 2013
Mailing address157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Tanner Medical Group Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Carrollton