NPIMap

Individual provider Active NPI

Buddy Buford Stokes II, D.O.

  • Internal Medicine Physician
  • Danville, VA
National Provider Identifier
1003172313
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0116024043 Issued in VA
Practice address
1955 Memorial Dr
Danville, VA 24541-4712
Phone
(434) 799-2055
Fax
(434) 799-2044
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116024043 VA Primary

Addresses

Primary practice location

1955 Memorial Dr
Danville, VA 24541-4712

Mailing address

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-3859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141010000511 AL Practitioner - Family Practice 2062632227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Clinic PCGroup PAC ID 1355329269, 25 clinicians

Practice addresses (Care Compare)

201 Doctors Dr
Dothan, AL 36301-2949
Phone (334) 794-6611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116024043VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Clinic PC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Southland Hospitalist at Ozark, PL CurrentSince Apr 1, 2016 Accepting new patients
Encompass Health Rehabilitation Hospital of Dothan, Inc Past Accepting new patients
Danville Patient Care, Inc. Internal Medicine PastSince Jan 1, 2007 Accepting new patients

Locations

1736 E Main St
Dothan, AL 36301
Phone (334) 712-6333

201 Doctors Dr
Dothan, AL 36301
Phone (334) 794-6611

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1720

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit Hospice PrattvilleDothan, AL, CCN 011600 Hospice Contracted Managing Employee May 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1003172313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412922",
            "telephone_number": "434-799-3859",
            "fax_number": "434-773-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MEMORIAL DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414712",
            "telephone_number": "434-799-2055",
            "fax_number": "434-799-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "BUDDY",
        "middle_name": "BUFORD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116024043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.