Active NPI
Jack P Franklin, MD
- Family Medicine Physician
- Llano, TX
National Provider Identifier
1366426595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K2020
- Practice address
- 906 Ford St
Llano, TX 78643-2345 - Phone
- (325) 248-6309
- Fax
- (325) 248-6307
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K2020 | TX | Primary |
Addresses
Primary practice location
906 Ford St
Llano, TX 78643-2345
Mailing address
906 Ford St
Llano, TX 78643-2345
Phone (325) 248-6309
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125243902 | Medicaid | TX | |
| 125243904 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1366426595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 FORD ST",
"city": "LLANO",
"state": "TX",
"postal_code": "786432345",
"telephone_number": "325-248-6309",
"fax_number": "325-248-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 FORD ST",
"city": "LLANO",
"state": "TX",
"postal_code": "786432345",
"telephone_number": "325-248-6309",
"fax_number": "325-248-6307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "JACK",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K2020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125243902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125243904",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Llano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.