NPIMap

Individual provider Active NPI

Gary Babbitt, MD

  • Family Medicine Physician
  • Bullard, TX
National Provider Identifier
1326018797
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G9321 Issued in TX
Practice address
2804 FM 2137 N
Bullard, TX 75757-7331
Phone
(903) 714-1704
NPI assigned
Jan 26, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G9321 TX Primary

Addresses

Primary practice location

2804 FM 2137 N
Bullard, TX 75757-7331

Mailing address

PO Box 5500
Tyler, TX 75712-5500
Phone (903) 324-6450

Other practice location 1

911 W Loop 281 Ste 209
Longview, TX 75604-2908
Phone (903) 551-3400

Other identifiers 1

IdentifierTypeStateIssuer
139720006MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001163 TX Practitioner - Family Practice 5092786137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut East Texas Urgent Care Centers, PLLCGroup PAC ID 7517385388, 33 clinicians

Practice addresses (Care Compare)

301 E State Hwy 243
Suite 121
Canton, TX 75103-2418
Phone (903) 567-4692

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G9321TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Ut East Texas Urgent Care Centers, PLLC CurrentSince Feb 23, 2021 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Starks Medical Past Accepting new patients
Three Oaks Palliative Care PLLC Past Accepting new patients
South Limestone Hospital District Past Accepting new patients
Godly Hospice and Palliative Care LLC Family Medicine PastSince Sep 23, 2021 Accepting new patients
Baylor County Hospital District Past Accepting new patients
Jacksonville Hospital LLC Past Accepting new patients

Locations

301 E State Highway 243
Ste 121
Canton, TX 75103
Phone (903) 567-4692

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1325 N Dickinson Dr
Rusk, TX 75785
Phone (903) 675-8882

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700

Interoperability endpoints

  • Direct secure messaging: gbabbitt354981@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit HospiceTyler, TX, CCN 971668 Hospice Contracted Managing Employee Sep 15, 2022
Enhabit HospiceKemp, TX, CCN 451793 Hospice Contracted Managing Employee Feb 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1326018797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5500",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757125500",
            "telephone_number": "903-324-6450",
            "fax_number": "903-593-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FM 2137 N",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757577331",
            "telephone_number": "903-714-1704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W Loop 281 Ste 209",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042908",
            "country_code": "US",
            "telephone_number": "903-551-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABBITT",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G9321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139720006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullard, TX

Sources for this page

Verify at the official NPI Registry.