Individual provider Active NPI

Dennis Dewayne McCoy, M.D

  • Interventional Pain Medicine Physician
  • Cordova, TN
National Provider Identifier
1700818804
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
41050 Issued in TN
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

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 41050 TN
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X MD4150 TN
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, AR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060830000226 TN Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8921002197 Reassigns benefits to 3 organizations
I20070724000842 MS Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Diagnostic Radiology 8921002197 Reassigns benefits to 2 organizations
I20231228002255 AR Practitioner - Pain ManagementPractitioner - Anesthesiology 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

LicenseStateTypeSpecialty
41050TNMDPharmacist
MD4150TNMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Pain Treatment Centers of America PLLC Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Pain Treatment Centers of America, PLLC Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Pain Management Centers of America, PSC Multi-Specialty CurrentSince Jan 1, 2022 Accepting new patients
Lifelinc Anesthesia II, PLLC Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Cordova Pain Specialists, PLLC Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Lifelinc Anesthesia VIII PLLC Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
American Anesthesiology of Mississippi LLC Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Mac Pharmaceuticals LLC PastSince Sep 27, 2018 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.

View all 30

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Treatment Centers of America PLLC 73 clinicians
Cordova Pain Specialists, PLLC 5 clinicians
Lifelinc Anesthesia II, PLLC 39 clinicians
Lifelinc Anesthesia VIII PLLC 155 clinicians
American Anesthesiology of Tennessee PC 296 clinicians
American Anesthesiology of Mississippi LLC 28 clinicians

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 Hospital, Memphis, TN, CCN 440048
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Great River Medical Center Hospital, Blytheville, AR, CCN 040069
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

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

Verify at the official NPI Registry.