Individual provider Active NPI

Sherrill Worth Stockton III, M.D., PH.D.

  • Emergency Medicine Physician
  • Rocky Mount, VA
National Provider Identifier
1932420601
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101253652 Issued in VA
Practice address
180 Floyd Ave
Rocky Mount, VA 24151
Phone
(540) 483-5277
Fax
(540) 489-6453
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101253652 VA Primary

Addresses

Primary practice location

180 Floyd Ave
Rocky Mount, VA 24151

Mailing address

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277

Other practice location 1

Dept Of Emergency Medicine Wfubmc
Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone (336) 716-4629

Other practice location 2

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 612-8154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20130820000908 VA Practitioner - Emergency Medicine 0345482436 Reassigns benefits to 6 organizations
I20170725004401 TN Practitioner - Emergency Medicine 0345482436 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wildwood Emergency Group, LLC Emergency Medicine CurrentSince Dec 26, 2021 Accepting new patients
Ingleside Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Kingsford Emergency Group, LLC Emergency Medicine CurrentSince Mar 19, 2019 Accepting new patients
Kingsford Physician Services, LLC CurrentSince Jun 19, 2023 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 7, 2017 Accepting new patients
Tri-Cities Observation Services, PC Emergency Medicine CurrentSince Dec 16, 2017 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 15, 2014 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: sstockton47683@direct.carilionclinic.org

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1932420601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FLOYD AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511318",
            "telephone_number": "540-483-5277",
            "fax_number": "540-489-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FLOYD AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "24151",
            "telephone_number": "540-483-5277",
            "fax_number": "540-489-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dept Of Emergency Medicine Wfubmc",
            "address_2": "Medical Center Boulevard",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-4629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-612-8154",
            "fax_number": "757-594-2196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "SHERRILL",
        "middle_name": "WORTH",
        "name_suffix": "III",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101253652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.