The McKenzie Clinic, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE MCKENZIE CLINIC, P.A.

Practice address

710 Titus St
Gilmer, TX 75644-1739

Phone

(903) 843-5676

Fax

(903) 843-5204

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mary McKenzie, RNC, FNP

Title

Practice Manager

Phone

(903) 843-5676

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013012517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 TITUS ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756441739",
            "telephone_number": "903-843-5676",
            "fax_number": "903-843-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 TITUS ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756441739",
            "telephone_number": "903-843-5676",
            "fax_number": "903-843-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MCKENZIE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "903-843-5676",
        "authorized_official_credential": "RNC, FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4669242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "0034JK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsie Durene Talley, SLP
• Jimmy Michael Taylor, DDS
• Mike Terry
• Melanie Teubner-Humber, LPN, CHW
• The Madera Corp
• Marie Milliren Tucker, MPH, RDN, LD
• Union Hill Isd
• Upshur Emergency Medicine Associates PA
• Eleazar Vera Jr., MD
• VMC Medgroup Inc

• Family Medicine Physician in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.