NPIMap

Organization Active NPI

Angelina County & Cities Health District

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1205878022
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANGELINA COUNTY & CITIES HEALTH DISTRICT
Practice address
503 Hill St
Lufkin, TX 75904-2792
Phone
(936) 632-2640
Fax
(936) 632-2640
NPI assigned
Jun 13, 2006
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Davelynn Darlene McCarty
Title
Credentialing/Contracts
Phone
(936) 633-1433

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary
Community Health Worker 172V00000X NU

Addresses

Primary practice location

503 Hill St
Lufkin, TX 75904-2792

Mailing address

503 Hill St
Lufkin, TX 75904-2792
Phone (936) 632-1139

Other identifiers 3

IdentifierTypeStateIssuer
130983305MedicaidTX
130983303MedicaidTX
130983302MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0892550Angelina Co & Cities HLTH District Wic503 Hill Street, Lufkin, TX 75904Certificate of waiverOct 2, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1205878022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 HILL ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042792",
            "telephone_number": "936-632-1139",
            "fax_number": "936-632-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HILL ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042792",
            "telephone_number": "936-632-2640",
            "fax_number": "936-632-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA COUNTY & CITIES HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "DAVELYNN",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "CREDENTIALING/CONTRACTS",
        "authorized_official_telephone_number": "936-633-1433"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130983305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130983303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130983302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.