Active NPI
Thomas Edward Dykes, M.D.
- Urology Physician
- Ft Gordon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD29968
- Practice address
- 300 East Hospital Drive
Eisenhower Army Medical Center
Ft Gordon, GA 30905 - Phone
- (706) 787-2862
- Fax
- (706) 787-2598
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD29968 | TN | Primary |
Addresses
Primary practice location
300 East Hospital Drive
Eisenhower Army Medical Center
Ft Gordon, GA 30905
Mailing address
5236 Tilton Dr
Evans, GA 30809-7079
Phone (580) 695-9276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110228000245 | GA | Practitioner - Urology | 3476734252 | Reassigns benefits to 1 organization |
| I20200106000048 | TN | Practitioner - Urology | 3476734252 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cookeville Regional Medical Group IncArchbold Medical Group, Inc.
Practice addresses (Care Compare)
1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 783-5857
915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000
Hospital & facility affiliations
- Cookeville Regional Medical Center
- Archbold Memorial Hospital
- Wellstar MCG Health, Affiliated With Med Col
- Doctors Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD29968 | TN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Group, Inc | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients |
Locations
900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102
100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
320 N Oak Ave
Cookeville, TN 38501
Phone (931) 528-5547
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
127 N Oak Ave
#D
Cookeville, TN 38501
100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
TN
-
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
-
- Rehabilitation Hospital Unit
- Cookeville, TN
- NPI 1639293483
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
Hospital
-
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
Hospital
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1710069034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5236 TILTON DR",
"city": "EVANS",
"state": "GA",
"postal_code": "308097079",
"telephone_number": "580-695-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EAST HOSPITAL DRIVE",
"address_2": "EISENHOWER ARMY MEDICAL CENTER",
"city": "FT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-2862",
"fax_number": "706-787-2598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKES",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "MD29968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Gordon, GA
- Danielle Liane Dunnagan, MS, RD, LD
- Dwight D Eisenhower Army Medical Center
- Dwight D Eisenhower Medical Center
- Dwight D. Eisenhower Army Medical Center
- Dwight D. Eisenhower Hospital, Fort Gordon
- Nichole Eckrich
- Donald L. Edwards, PA-C
- Jan Parisot Edwards, RN,BSN,OCN
- Tracy L Eichel, MD
- Eisenhower Army Med Cen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.