Active NPI
Dennis Dewayne McCoy, M.D
- Interventional Pain Medicine Physician
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 41050
- Practice address
- 8000 Centerview Pkwy Ste 100
Cordova, TN 38018-4289 - Phone
- (901) 249-5905
- Fax
- (901) 249-5940
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 41050 | TN | |
| Pain Medicine Physician | 208VP0000X | MD4150 | TN | |
| Interventional Pain Medicine Physician | 208VP0014X | 41050 | TN | Primary |
Addresses
Primary practice location
8000 Centerview Pkwy Ste 100
Cordova, TN 38018-4289
Mailing address
8000 Centerview Pkwy Ste 100
Cordova, TN 38018-4289
Phone (901) 249-5905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060830000226 | TN | Practitioner - Interventional Pain Management | 8921002197 | Reassigns benefits to 3 organizations |
| I20070724000842 | MS | Practitioner - Anesthesiology | 8921002197 | Reassigns benefits to 2 organizations |
| I20231228002255 | AR | Practitioner - Pain Management | 8921002197 | Reassigns benefits to 1 organization |
| I20240624003274 | TN | Practitioner - Anesthesiology | 8921002197 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41050 | TN | MD | Pharmacist |
| MD4150 | TN | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Multi-Specialty | Current | Accepting new patients |
| Pain Treatment Centers of America PLLC | Multi-Specialty | Current | Accepting new patients |
| Pain Treatment Centers of America, PLLC | Multi-Specialty | Current | Accepting new patients |
| Pain Management Centers of America, PSC | Multi-Specialty | Current | Accepting new patients |
| Lifelinc Anesthesia II, PLLC | Multi-Specialty | Current | Accepting new patients |
| Cordova Pain Specialists, PLLC | Multi-Specialty | Current | Accepting new patients |
| Lifelinc Anesthesia VIII PLLC | Multi-Specialty | Current | Accepting new patients |
| American Anesthesiology of Mississippi LLC | Multi-Specialty | Current | Accepting new patients |
| Mac Pharmaceuticals LLC | Past | Accepting new patients | |
| Jonesboro Ambulatory Surgery Center, LLC | Past | Accepting new patients | |
| Anesthesia Care of Effingham, SC | Multi-Specialty | Past | Accepting new patients |
Locations
1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541
609 Fulton St
Blytheville, AR 72315
Phone (870) 763-0855
1710 Mayfield Dr
Jonesboro, AR 72401
Phone (870) 275-4927
4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763
1101 Professional Blvd
Ste 100
Evansville, IN 47714
Phone (812) 573-1207
67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373
1907 Lisa Drive Ext
Greenville, MS 38703
Phone (662) 334-2929
1600 S Colorado St
Greenville, MS 38703
Phone (662) 336-1268
7620 Clarington Cv
#B
Southaven, MS 38671
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000
2028 W Poplar Ave
Ste 102
Collierville, TN 38017
Phone (901) 754-3365
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
1540 Appling Care Ln
Ste 105
Cordova, TN 38016
Phone (901) 202-0733
1540 Appling Care Ln
Cordova, TN 38016
Phone (901) 388-1893
8000 Centerview Pkwy
Ste 100
Cordova, TN 38018
Phone (901) 249-5905
8001 Centerview Pkwy
Ste 215
Cordova, TN 38018
Phone (901) 249-5905
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
Organizations & group practices 30
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
Multi-Specialty, TN
-
- Pain Medicine Physician
- Cordova, TN
- NPI 1437565900
Multi-Specialty, TN
-
- Anesthesiology Physician
- Springfield, TN
- NPI 1821397233
Multi-Specialty, TN
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
Multi-Specialty, TN
-
- Anesthesiology Physician
- Melville, NY
- NPI 1023723558
MS, Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1841619731
AR, MS, Multi-Specialty
-
- Interventional Pain Medicine Physician
- Evansville, IN
- NPI 1992271811
Multi-Specialty, TN
-
- Durable Medical Equipment & Medical Supplies
- Harrison, AR
- NPI 1821972225
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- Newport, AR
- NPI 1063217438
-
- Home Infusion Agency
- Little Rock, AR
- NPI 1083480172
-
- Durable Medical Equipment & Medical Supplies
- Cherokee Village, AR
- NPI 1184429557
-
- Durable Medical Equipment & Medical Supplies
- Greenwood, MS
- NPI 1336853621
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
Hospital
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
Hospital
-
- General Acute Care Hospital
- Blytheville, AR
- NPI 1316180748
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pain Treatment Centers of America PLLCCordova Pain Specialists, PLLCLifelinc Anesthesia II, PLLCLifelinc Anesthesia VIII PLLCAmerican Anesthesiology of Tennessee PCAmerican Anesthesiology of Mississippi LLC
Practice addresses (Care Compare)
108 N Shackeford Rd
Little Rock, AR 72211-2840
1540 Appling Care LN
Cordova, TN 38016-4947
Phone (901) 444-3950
1600 S Colorado St
Greenville, MS 38703-7216
Phone (844) 215-0731
2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (901) 820-7000
435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200
501 20TH St
Knoxville, TN 37916-1863
Phone (865) 546-8040
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (315) 413-5219
Hospital & facility affiliations
- Baptist Memorial Hospital
- Saint Francis Bartlett Medical Center
- Baptist Memorial Hospital Desoto
- Great River Medical Center
- Methodist Healthcare - Olive Branch Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1700818804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 CENTERVIEW PKWY STE 100",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184289",
"telephone_number": "901-249-5905",
"fax_number": "901-249-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 CENTERVIEW PKWY STE 100",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184289",
"telephone_number": "901-249-5905",
"fax_number": "901-249-5940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "DENNIS",
"middle_name": "DEWAYNE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "41050",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "TN",
"license": "MD4150",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TN",
"license": "41050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.