Individual provider Active NPI

Giovvanni Tranquilino Mojica

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1144109125
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1215364 Issued in TX
Practice address
214 E Houston St
Tyler, TX 75702-8131
Phone
(903) 535-9041
NPI assigned
Sep 2, 2025
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1215364 TX Primary
Registered Nurse 163W00000X 925393 TX

Addresses

Primary practice location

214 E Houston St
Tyler, TX 75702-8131

Mailing address

10663 Clear Cove Dr
Tyler, TX 75703-7929
Phone (903) 316-1521

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113003810 TX Practitioner - Nurse Practitioner 5799276135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyler Family Circle of CareGroup PAC ID 4587812888, 28 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
925393TXMDRegistered Nurse
1215364TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Family Circle of Care CurrentSince Nov 3, 2025 Accepting new patients
Goodside Health Medical, PLLC Past Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients

Locations

13172 State Highway 64 E
Tyler, TX 75707
Phone (903) 566-2311

214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892

2990 N Broadway Ave
Tyler, TX 75702
Phone (903) 245-1984

523 S Fannin Ave
Tyler, TX 75702

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1144109125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10663 CLEAR COVE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037929",
            "telephone_number": "903-316-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028131",
            "telephone_number": "903-535-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANQUILINO MOJICA",
        "first_name": "GIOVVANNI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1215364",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "925393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.