Individual provider Active NPI

Joya K Sykes, DO

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1336305820
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1658 Issued in TX
Practice address
2800 E Broad St Ste 308
Mansfield, TX 76063-6412
Phone
(682) 242-4325
Fax
(682) 622-4322
NPI assigned
Aug 4, 2008
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 010241 OH
Family Medicine Physician 207Q00000X R1658 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 308
Mansfield, TX 76063-6412

Mailing address

2800 E Broad St Ste 308
Mansfield, TX 76063-6412
Phone (937) 241-3720

Other practice location 1

400 W Interstate Highway 635 Ste 130
Irving, TX 75063-3700
Phone (972) 579-5222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200506001549 TX Practitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 7911178652

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010241OHMDFamily Medicine Physician
R1658TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Health Wholeness Family Medicine CurrentSince Jan 15, 2021 Accepting new patients
Butler County Community Health Consortium, Inc. Past Accepting new patients
Butler County Community Health Consortium, Inc. PastSince Oct 10, 2021 Accepting new patients

Locations

2800 E Broad St
Ste 308
Mansfield, TX 76063
Phone (682) 242-4325

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1336305820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 308",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636412",
            "telephone_number": "937-241-3720",
            "fax_number": "972-579-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 308",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636412",
            "telephone_number": "682-242-4325",
            "fax_number": "682-622-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Interstate Highway 635 Ste 130",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633700",
            "country_code": "US",
            "telephone_number": "972-579-5222",
            "fax_number": "972-579-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYKES",
        "first_name": "JOYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "010241",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R1658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.