Pierce Primary Care Associates PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J4440 Issued in TX

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055691-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Alexander Phung, MD
• Physicians Caring for People
• Jennifer Ann Piazza, M.S.
• Tonya Deeann Pickens
• Merwyn Glenn Pickle, DDS
• Pierce Primary Care Associates PLLC
• Chad Pierce
• Charles Crowell Pierce, PA
• Daniel Paul Pierce, FNP-C, RN
• Shawn D Pierce, MD

• Family Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Medicine Physician in Texas

• 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.

Verify at the official NPI Registry.