Individual provider Active NPI

Savannah Stockton, MD

  • Otolaryngology Physician
  • Brookhaven, MS
National Provider Identifier
1639795529
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35000 Issued in MS
Practice address
201 S Railroad Ave
Brookhaven, MS 39601-3331
Phone
(601) 835-0077
NPI assigned
Jun 17, 2020
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35000 MS Primary

Addresses

Primary practice location

201 S Railroad Ave
Brookhaven, MS 39601-3331

Mailing address

504 S Jackson St
Brookhaven, MS 39601-3820
Phone (601) 513-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20250516000350 MS Practitioner - Otolaryngology 9830513795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Mississippi School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookhaven Ear, Nose and Throat PAGroup PAC ID 5092809764, 5 clinicians

Practice addresses (Care Compare)

201 S Railroad Ave
Brookhaven, MS 39601-3331
Phone (601) 835-0077

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35000MSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Ear, Nose & Throat PA Otolaryngology CurrentSince Jul 1, 2025 Accepting new patients

Locations

201 S Railroad Ave
Brookhaven, MS 39601
Phone (601) 835-0077

Organizations & group practices 1

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 1

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1639795529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S JACKSON ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013820",
            "telephone_number": "601-513-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S RAILROAD AVE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013331",
            "telephone_number": "601-835-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "SAVANNAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "35000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.