Individual provider Active NPI

Ronnie A. Pollard, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1104871243
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J5116 Issued in TX
Practice address
3500 Oak Lawn Ave Ste 300
Dallas, TX 75219-4349
Phone
(972) 283-1689
Fax
(972) 709-1961
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.20541 AL
Psychiatry Physician 2084P0800X 20541 AL
Child & Adolescent Psychiatry Physician 2084P0804X J5116 TX
Psychiatry Physician 2084P0800X J5116 TX Primary

Addresses

Primary practice location

3500 Oak Lawn Ave Ste 300
Dallas, TX 75219-4349

Mailing address

3500 Oak Lawn Ave Ste 300
Dallas, TX 75219-4349
Phone (972) 709-1961

Other practice location 1

2026 W University Dr
Denton, TX 76201-0644
Phone (940) 320-8100

Other identifiers 2

IdentifierTypeStateIssuer
000051228MedicaidAL
51228OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140128000104 TX Practitioner - Psychiatry 6507040748 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Pain Centers PAGroup PAC ID 8426312646, 12 clinicians

Practice addresses (Care Compare)

2071 N Collins Blvd
Suite 100
Richardson, TX 75080-2696
Phone (469) 562-4188

3500 Oak Lawn Ave
Suite 300
Dallas, TX 75219-4349
Phone (972) 283-1689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20541ALMDPsychiatry Physician
MD.20541ALMDPsychiatry Physician
J5116TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jbutlermdphd PLLC Psychiatry CurrentSince May 1, 2025 Accepting new patients
Premier Pain Centers PA Psychiatry CurrentSince Jan 10, 2025 Accepting new patients
Diamond Cross Psychiatry Psychiatry CurrentSince Jun 22, 2025 Accepting new patients
Gulf Coast Behavioral Medicine P. C. Child & Adolescent Psychiatry PastSince Jul 1, 2012 Accepting new patients
Green Oaks Hospital Subsidiary LP Past Accepting new patients
Southwest Alabama Behavioral Health Care Systems Past Accepting new patients
Southwest Alabama Behavioral Health Care Systems PastSince Sep 16, 1996 Accepting new patients
Vinet Health Services LLC Psychiatry Past Accepting new patients

Locations

4225 Woods Pl
Abilene, TX 79602
Phone (325) 468-8782

12221 Merit Dr
Ste 400
Dallas, TX 75251
Phone (972) 701-3626

3500 Oak Lawn Ave
Ste 300
Dallas, TX 75219
Phone (972) 283-1689

6120 Swiss Ave
Unit 141347
Dallas, TX 75214

7808 Clodus Fields Dr
Dallas, TX 75251
Phone (972) 566-7260

2026 W University Dr
Denton, TX 76201
Phone (903) 783-0846

1323 E Franklin St
Ste 102
Hillsboro, TX 76645
Phone (254) 362-2205

509 S Chestnut St
Lufkin, TX 75901
Phone (214) 334-6831

302 Gobblers Knob Rd
Lufkin, TX 75904
Phone (260) 407-8009

3300 S FM 1788
Midland, TX 79706
Phone (432) 561-5915

7904 NE Loop 820
Ste C
North Richland Hills, TX 76180
Phone (817) 595-2955

403 W Campbell Rd
Ste 305
Richardson, TX 75080
Phone (972) 498-4470

2071 N Collins Blvd
Ste 100
Richardson, TX 75080
Phone (469) 454-6966

5931 Crosslake Pkwy
Waco, TX 76712
Phone (254) 279-6199

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/swamh/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1104871243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194349",
            "telephone_number": "972-709-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194349",
            "telephone_number": "972-283-1689",
            "fax_number": "972-709-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762010644",
            "country_code": "US",
            "telephone_number": "940-320-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "RONNIE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.20541",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "20541",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J5116",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J5116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051228",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51228",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.