Individual provider Active NPI

Jonathan Andrew Egly, M.D.

  • Obstetrics & Gynecology Physician
  • Tyler, TX
National Provider Identifier
1063623700
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P8240 Issued in TX
Practice address
1100 S. Beckham
Ste. 2200
Tyler, TX 75701
Phone
(903) 533-8811
Fax
(903) 593-5511
NPI assigned
May 24, 2007
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P8240 TX Primary

Addresses

Primary practice location

1100 S. Beckham
Ste. 2200
Tyler, TX 75701

Mailing address

1100 S. Beckham
Ste. 2200
Tyler, TX 75701
Phone (903) 533-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180328002351 GA Practitioner - Obstetrics/Gynecology 7416128517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, shared by 3 NPIs, 375 clinicians
Tyler Family Circle of CareGroup PAC ID 4587812888, 28 clinicians

Practice addresses (Care Compare)

115 Medical Cir
Suite 100
Athens, TX 75751-9004
Phone (903) 676-1144

13172 State Hwy 64 E
Tyler, TX 75707-5340
Phone (903) 606-2212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8240TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince May 1, 2024 Accepting new patients
Cooperative Healthcare Services Inc Obstetrics & Gynecology CurrentSince Feb 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince May 1, 2024 Accepting new patients
Tyler Regional Hospital LLC Past Accepting new patients
Athens Hospital, LLC Past Accepting new patients
Mother Frances Hospital Regional Health Care Center Past Accepting new patients
Radiology Associates of North Texas PA Past Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients
Midwest City Hma Physician Management, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2060 Dan Proctor Dr
Ste 1200
Saint Marys, GA 31558
Phone (912) 540-6750

115 Medical Cir
Ste 100
Athens, TX 75751
Phone (903) 603-7067

115 Medical Cir
Ste 102
Athens, TX 75751
Phone (903) 676-5889

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

Interoperability endpoints

  • Direct secure messaging: jegly1134252@ahs.direct-ci.com
  • Direct secure messaging: jegly568188@christushealth.direct-ci.net

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1063623700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S. BECKHAM",
            "address_2": "STE. 2200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-533-8811",
            "fax_number": "903-593-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S. BECKHAM",
            "address_2": "STE. 2200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-533-8811",
            "fax_number": "903-593-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGLY",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P8240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.