PHILLIP ALTON NOKES (DO) – Sports Medicine (Family Medicine) Physician, NPI 1689652075

PHILLIP ALTON NOKES (DO) is a healthcare provider. based in Ardmore, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 1919 (OK). The NPI Number for PHILLIP ALTON NOKES (DO) is 1689652075

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP ALTON NOKES (DO)
NPI
1689652075
Phone
(580) 224-8750
Address
1105 MICHELIN RD
Enumeration Date
5 January 2006
Last Update Date
7 August 2013

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4053485901
Graduation Year
1978 (48 years ago)
PAC ID
7810952900
Group Practice PAC ID
6406010206
Professional Enrollment ID
I20041201000021
Address ID
OK730343681ED305XXBROA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for PHILLIP ALTON NOKES (DO)

  • 1105, Michelin Road, Ardmore, Carter County, Oklahoma, 73401, United States

    MICHELIN FAMILY HEALTH CENTER

    ARDMORE, OK 734011085

    Phone: (580) 224-8750

    Fax: (580) 224-4454

    Type: Location

  • 3062 FOXDEN RD

    ARDMORE, OK 734017751

    Phone: (580) 657-2587

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (891 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041201000021IFamily PracticeOK2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406010206View full group profile
NameSpecialtyState
-OK
C H I R O P R A C T I COK
-OK

Reviews

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Frequently asked questions

What is the standard ID for PHILLIP ALTON NOKES (DO) in the U.S.?
In the U.S., PHILLIP ALTON NOKES (DO) is identified by NPI 1689652075.
Should I treat PHILLIP ALTON NOKES (DO) as an active provider?
Patients and plans typically see PHILLIP ALTON NOKES (DO) as active in the national extract.
How should patients interpret PHILLIP ALTON NOKES (DO)'s specialty?
The extract shows Sports Medicine (Family Medicine) Physician for PHILLIP ALTON NOKES (DO). Clinical services aligned with this taxonomy classification.
What geographic area is tied to PHILLIP ALTON NOKES (DO)?
PHILLIP ALTON NOKES (DO) is associated with Ardmore, Oklahoma in the same public data insurers reference.
Can I export PHILLIP ALTON NOKES (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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