DR. LLOYDETTA STOVALL MD
NPI 1639165798
Pediatrics in Memphis, TN

Q: What is Lloydetta Stovall's NPI number?

The NPI number for Lloydetta Stovall is 1639165798. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Lloydetta Stovall's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lloydetta Stovall was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2005PECOS Enrolled

360 E EH CRUMP BLVD, MEMPHIS, TN 38126(901) 261-2000 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2020, Jun 30, 2016 (2 updates tracked since 2016).

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About Dr. Lloydetta Stovall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LLOYDETTA STOVALL MD (NPI 1639165798) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (32011) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639165798

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LLOYDETTA STOVALLCredential: MD

Location Address360 E EH CRUMP BLVDMemphis, TN 38126-5310

Mailing Address360 E Eh Crump BlvdMemphis, TN 38126-5310 · (901) 261-2000

Phone(901) 261-2000

Sole ProprietorNo

Enumeration DateSeptember 23, 2005

Last NPPES UpdateMay 4, 20202 updates tracked since enumeration

NPPES CertifiedMay 4, 2020

✔ NPI 1639165798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 32011

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

360 E EH CRUMP BLVD, Memphis, TN 38126

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Other Identifiers 1

Medicaid3853566TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lloydetta Stovall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lloydetta Stovall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memphis Health Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

360 E EH CRUMP BLVD
Memphis, TN 38126

Reassigned Medicare billing, Tennessee enrollment
85 clinicians in this Medicare group

NPI 1124326327 (901) 261-2002

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TIFFINIE WILSON FNP-C

Nurse Practitioner (Family)