Genesis Gynecology PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

GENESIS GYNECOLOGY PA

Practice address

176 Fairway Dr
Kerrville, TX 78028-6437

Phone

(830) 792-0805

Fax

(830) 792-0833

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Kerri Lee Truelock, MDNPI 1750344883

Title

President

Phone

(830) 792-0805

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBIEAA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerri Lee Truelock, MD

  • Gynecology Physician
  • Kerrville, TX
  • NPI 1750344883

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD Authorized official
• Kelly C Pelton, MD

  • Internal Medicine Physician
  • Kerrville, TX
  • NPI 1356347868
  Medicare reassignment Care Compare group NPD
• Lori Gayle Pruitt, FNP-C

  • Family Nurse Practitioner
  • Kerrville, TX
  • NPI 1316413255
  Medicare reassignment Care Compare group NPD
• Kimberly Brooks Barnett, PA-C

  • Physician Assistant
  • Waco, TX
  • NPI 1134417207
  Medicare reassignment

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1174792733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 FAIRWAY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286437",
            "telephone_number": "830-792-0805",
            "fax_number": "830-792-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 FAIRWAY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286437",
            "telephone_number": "830-792-0805",
            "fax_number": "830-792-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS GYNECOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "TRUELOCK",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-792-0805",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS GROUP #",
            "identifier": "0083RB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193308701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Santos Garcia
• Martin E. Garcia, LCDC, CART
• Margaret Garlitz-Salaz, LCSW
• April Garofano Brown, PH.D., LPC
• Patricia Michele Garza, LPC
• Genoa Healthcare LLC
• Gerald a Price, MD, PA
• Mary Gery
• Dane Gibbs, REGISTERED NURSE
• Marlyn Feliciano Gilbert

• Gynecology Physician in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.