Individual provider Active NPI

Thomas Edward Dykes, M.D.

  • Urology Physician
  • Ft Gordon, GA
National Provider Identifier
1710069034
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD29968 Issued in TN
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

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 8325092638, 54 clinicians
Archbold Medical Group, Inc.Group PAC ID 8123196383, 80 clinicians

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 Hospital, Cookeville, TN, CCN 440059
  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD29968TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Group, Inc CurrentSince Jan 22, 2020 Accepting new patients
Cookeville Regional Medical Center CurrentSince Dec 26, 2019 Accepting new patients
Cookeville Regional Medical Center CurrentSince Dec 26, 2019 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Dec 15, 2023 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Dec 15, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Sources for this page

Verify at the official NPI Registry.