Active NPI
North Central Texas Family Medicine PA
- Family Medicine Physician
- Decatur, TX
National Provider Identifier
1194781757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L1474
- Legal business name
- NORTH CENTRAL TEXAS FAMILY MEDICINE PA
- Practice address
- 800 Medical Center Dr
Suite C
Decatur, TX 76234-3843 - Phone
- (940) 626-4475
- Fax
- (940) 626-4447
- NPI assigned
- Apr 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary D Swain, MD
- Title
- President
- Phone
- (940) 626-4475
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L1474 | TX | Primary |
Addresses
Primary practice location
800 Medical Center Dr
Suite C
Decatur, TX 76234-3843
Mailing address
800 Medical Center Dr
Suite C
Decatur, TX 76234-3843
Phone (940) 626-4475
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160002501 | Medicaid | TX | |
| 0055KD | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Naples, FL
- NPI 1245296813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299715200000",
"number": "1194781757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"address_2": "SUITE C",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343843",
"telephone_number": "940-626-4475",
"fax_number": "940-626-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"address_2": "SUITE C",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343843",
"telephone_number": "940-626-4475",
"fax_number": "940-626-4447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CENTRAL TEXAS FAMILY MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-24",
"last_updated": "2011-03-10",
"status": "A",
"authorized_official_last_name": "SWAIN",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-626-4475",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L1474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160002501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0055KD",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.