Troy W. Stovall, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02001581A Issued in IN

Practice address

423 Medical Park Dr
Suite 100
Lenoir City, TN 37772-5640

Phone

(865) 271-6600

Fax

(865) 271-6601

NPI assigned

Jul 29, 2006

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010
  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD
• Franciscan Physician Network

  • Clinic/Center
  • Lafayette, IN
  • NPI 1992543250
  NPD (past)
• St Anthony Medical Center

  dba Franciscan Physician Network

  • Multi-Specialty Clinic/Center
  • Crown Point, IN
  • NPI 1568402774
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1063426393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 DREAMVIEW LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220616",
            "telephone_number": "865-288-0223",
            "fax_number": "865-288-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MEDICAL PARK DR",
            "address_2": "SUITE 100",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725640",
            "telephone_number": "865-271-6600",
            "fax_number": "865-271-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "TROY",
        "middle_name": "W.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001581A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TRADITIONAL",
            "identifier": "000000722508",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020834",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latonya Marie Stanley, LCSW
• Richard E Stanley, M.D.
• Kelly Alexis Steely, CNP
• Gregory Todd Stevens
• Ann Stewart, OTR
• Shannon Sullivan-Evans, FNP-BC
• Robert Sherwood Sullivan, MD
• Bethany Summerall
• Summit Medical Group, PLLC (Dr. Dinar Sayani)
• Summit Medical Group, PLLC (Fort Loudon Family Medical Center)

• Family Medicine Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.