Active NPI
Pierce Primary Care Associates PLLC
- Family Medicine Physician
- Tyler, TX
National Provider Identifier
1306964085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J4440
- Legal business name
- PIERCE PRIMARY CARE ASSOCIATES PLLC
- Practice address
- 833 S Beckham Ave
Tyler, TX 75701-1905 - Phone
- (903) 780-4396
- NPI assigned
- Mar 27, 2007
- Last updated
- Jun 26, 2014
- 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
- Dr. Shawn Pierce, M.D.
- Title
- Physician
- Phone
- (903) 780-4396
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J4440 | TX | Primary |
Addresses
Primary practice location
833 S Beckham Ave
Tyler, TX 75701-1905
Mailing address
PO Box 2100
Flint, TX 75762-2100
Phone (903) 780-4396
National Provider Directory
National Provider DirectoryLocations
212 Grande Blvd
Ste C116
Tyler, TX 75703
Phone (903) 561-3700
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1023041969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403740800000",
"number": "1306964085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2100",
"city": "FLINT",
"state": "TX",
"postal_code": "757622100",
"telephone_number": "903-780-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 S BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757011905",
"telephone_number": "903-780-4396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIERCE PRIMARY CARE ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2014-06-26",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "903-780-4396",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "J4440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.