NPIMap

Individual provider Active NPI

Kish L. Carlton, MD

  • Family Medicine Physician
  • Gilmer, TX
National Provider Identifier
1194144246
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4948 Issued in TX
Practice address
1204 N Bradford St
Gilmer, TX 75644-3110
Phone
(903) 636-7583
Fax
(903) 470-7275
NPI assigned
Apr 15, 2014
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R4948 TX Primary

Addresses

Primary practice location

1204 N Bradford St
Gilmer, TX 75644-3110

Mailing address

1204 N Bradford St
Gilmer, TX 75644-3110
Phone (903) 636-7583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030000686 TX Practitioner - Family Practice 7719283852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Border Health ClinicGroup PAC ID 8820038565, shared by 11 NPIs, 55 clinicians

Practice addresses (Care Compare)

1011 S William St
Atlanta, TX 75551-3245
Phone (903) 796-2868

1400 College Dr
Texarkana, TX 75503-3536
Phone (903) 791-1110

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
East Texas Border Health Clinic Multi-Specialty CurrentSince May 22, 2025 Accepting new patients
Pittsburg Hospital, LLC Multi-Specialty CurrentSince Mar 1, 2018 Accepting new patients
East Texas Border Health Clinic Multi-Specialty Current Accepting new patients
East Texas Border Health Clinic Multi-Specialty CurrentSince May 22, 2025 Accepting new patients
Etmc Physician Group Inc. Multi-Specialty CurrentSince Mar 1, 2018 Accepting new patients
Dr. Kish MD, LLC Family Medicine Current Accepting new patients
Associated Clinicians of East Texas Multi-Specialty CurrentSince Feb 1, 2021 Accepting new patients
Pittsburg Hospital LLC Multi-Specialty CurrentSince Mar 1, 2018 Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

1011 S William St
Atlanta, TX 75551
Phone (903) 796-2868

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

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

301 W 19th St
Mt Pleasant, TX 75455
Phone (903) 577-1101

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

502 Quitman St
Pittsburg, TX 75686
Phone (903) 856-4200

1400 College Dr
Texarkana, TX 75503
Phone (903) 791-1110

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1194144246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N BRADFORD ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756443110",
            "telephone_number": "903-636-7583",
            "fax_number": "903-470-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N BRADFORD ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756443110",
            "telephone_number": "903-636-7583",
            "fax_number": "903-470-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "KISH",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilmer, TX

Sources for this page

Verify at the official NPI Registry.