Active NPI
Terri Lynn Eckert, M.D.
- Family Medicine Physician
- Athens, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H4300
- Practice address
- 1505 State Highway 19 S
Athens, TX 75751-8950 - Phone
- (903) 675-1725
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | H4300 | TX | |
| Family Medicine Physician | 207Q00000X | H4300 | TX | Primary |
Addresses
Primary practice location
1505 State Highway 19 S
Athens, TX 75751-8950
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-2616977-029 | Other | TRICARE | |
| 139011401 | Medicaid | TX | |
| 139011413 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060428000035 | TX | Practitioner - Family Practice | 6608886114 |
Reassigns benefits to 4 organizations Practice locations: Athens, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283
1505 S Palestine St
Athens, TX 75751-8950
Phone (903) 675-6800
1505 State Hwy 19 S
Christus Trinity Clinic
Athens, TX 75751-8950
Phone (903) 675-1725
18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841
3201 S Loop
Palestine, TX 75801-6901
3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Ut Health East Texas Home Health Services
- Pathfinder Home Health
- Traditions Health
- Christus Homecare
- Elara Caring
- Christus Mother Frances Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
1505 State Highway 19 S
Athens, TX 75751
Phone (903) 675-1725
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- teckert114518@christushealth.direct-ci.net
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Family Medicine, TX
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
TX
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Durable Medical Equipment & Medical Supplies
- New Braunfels, TX
- NPI 1639807548
-
- Rural Health Clinic/Center
- Emory, TX
- NPI 1033641105
-
- Rural Health Clinic/Center
- Canton, TX
- NPI 1134313083
-
- Rural Health Clinic/Center
- Mineola, TX
- NPI 1275727125
-
- Rural Health Clinic/Center
- Hawkins, TX
- NPI 1396939146
-
- Rural Health Clinic/Center
- Quitman, TX
- NPI 1497949341
-
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
- NPI 1891422192
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Athens, TX
- NPI 1760980668
-
- Home Health Agency
- Teague, TX
- NPI 1770576563
-
- Home Health Agency
- Palestine, TX
- NPI 1275389439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
Hospital
-
- Home Health Agency
- Athens, TX
- NPI 1316950140
-
- Home Health Agency
- Tyler, TX
- NPI 1447448980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1124024765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 STATE HIGHWAY 19 S",
"city": "ATHENS",
"state": "TX",
"postal_code": "757518950",
"telephone_number": "903-675-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "TERRI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "H4300",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H4300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "75-2616977-029",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139011401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139011413",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TX
- East Texas Medical Imaging
- East Texas Pathology Laboratories
- East Texas Psychological Services, PLLC
- East Texas Radiological Consultants P a
- Eastern Texas Pathology Laboratories, LLC
- Jonathan D Edwards, M.D.
- Jonathan Andrew Egly, M.D.
- Mark L Eldore, M.D.
- William Alex Elfarr, M.D.
- Elite Chiropractic Wellness Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.