Active NPI
Myron Cornel Stokes, M.D.
- Surgery Physician
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 21733
- Practice address
- 1143 Cully Rd
Cordova, TN 38018-8502 - Phone
- (615) 484-8128
- Fax
- (901) 328-5599
- NPI assigned
- Aug 5, 2006
- Last updated
- Sep 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 21733 | MS | |
| Surgery Physician | 208600000X | 21733 | MS | Primary |
Addresses
Primary practice location
1143 Cully Rd
Cordova, TN 38018-8502
Mailing address
PO Box 1562
Collierville, TN 38027-1562
Phone (901) 316-5648
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01262457 | Other | TN | AMERIGROUP |
| 4212217 | Other | TN | MEDICARE ADVANTAGE |
| 4212217 | Other | TN | BCBS TN |
| 1510428 | Medicaid | TN | |
| 20350091323 | Other | TN | AMERICHOICE |
| 5108599 | Other | TN | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1730 Dorchester Dr
Southaven, MS 38671-5723
Phone (662) 393-0050
928 Old Smithville Rd
McMinnville, TN 37110-6805
Phone (931) 473-8431
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21733 | MS | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Providers of America, LLC | Current | Accepting new patients | |
| Clarksville Physician Services LLC | Surgery | Past | Accepting new patients |
| Grenada Lake Medical Center | Past | Accepting new patients | |
| Tishomingo Health Services, Inc. | Past | Accepting new patients | |
| Tennessee Heart and Lung Institute PLC | Past | Accepting new patients | |
| Norton Community Physician Services LLC | Past | Accepting new patients | |
| Norton Community Physician Services LLC | Past | Accepting new patients |
Locations
111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141
1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442
1025 Crestway Dr
Athens, TN 37303
Phone (423) 453-4721
200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771
928 Old Smithville Rd
McMinnville, TN 37110
Phone (931) 473-8431
3549 Norriswood Ave
Memphis, TN 38111
Phone (864) 671-0600
Interoperability endpoints
- https://api.platform.athenahealth.com/1879/brand/1/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Nurse Practitioner
- Cincinnati, OH
- NPI 1316560972
MS, TN
-
- Surgery Physician
- Cordova, TN
- NPI 1093131211
-
dba Vanderbilt Physician Services Clarksville
- General Practice Physician
- Clarksville, TN
- NPI 1083657829
Surgery
-
- Specialist
- Clarksville, TN
- NPI 1699802371
-
dba Grenada Primary Care Clinic
- Rural Health Clinic/Center
- Grenada, MS
- NPI 1154506277
-
- Internal Medicine Physician
- Pennington Gap, VA
- NPI 1841098175
-
- Internal Medicine Physician
- Norton, VA
- NPI 1861674160
-
dba Belmont Family Medical Clinic
- Clinic/Center
- Belmont, MS
- NPI 1295105922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1982613683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1562",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380271562",
"telephone_number": "901-316-5648",
"fax_number": "901-221-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1143 CULLY RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380188502",
"telephone_number": "615-484-8128",
"fax_number": "901-328-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "MYRON",
"middle_name": "CORNEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MS",
"license": "21733",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "21733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01262457",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ADVANTAGE",
"identifier": "4212217",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4212217",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1510428",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "20350091323",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5108599",
"state": "TN"
}
],
"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 Sep 25, 2023; 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.