Jeffery K Hawkins, MD, PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

Q3197 Issued in TX

Legal business name

JEFFERY K HAWKINS, MD, PLLC

Practice address

7148 Trail Lake Dr
Fort Worth, TX 76123-1969

Phone

(817) 294-0934

Fax

(817) 294-1488

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Jeffery K Hawkins, MDNPI 1609175843

Title

Provider/Owner

Phone

(817) 294-0934

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffery Karron Hawkins, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Fort Worth, TX
  • NPI 1609175843
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1316430580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7148 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231969",
            "telephone_number": "817-294-0934",
            "fax_number": "817-294-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7148 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231969",
            "telephone_number": "817-294-0934",
            "fax_number": "817-294-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY K HAWKINS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "817-294-0934",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q3197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPORTS MEDICINE/PAIN MANAGEMENT",
            "identifier": "Q3197",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Alexandra Jeffers, LMSW
• Erin Leeann Jeffers, HIS
• Rebecca A Jeffers, LPC
• Kathy Jefferson, COA
• Taylor Jefferson
• Jeffery K Hawkins, MD, PLLC
• Jeffrey L. Morer, OD, PA (HealthDrive Eye Care Group)
• Ashley Veronica Jeffrey, APRN, FNP
• Deborah L Jeffrey, PTA
• Serena Jeffreys, LPC

• Sports Medicine (Family Medicine) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.