Jeffery K Hawkins, MD, PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

JEFFERY K HAWKINS, MD, PLLC

Practice address

209 Saint Louis Ave Ste 100
Fort Worth, TX 76104-1279

Phone

(817) 294-0934

Fax

(817) 294-1488

NPI assigned

Jul 28, 2020

Last updated

Jul 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori A Payne

Title

Billing Manager

Phone

(817) 953-2968

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery Karron Hawkins, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Fort Worth, TX
  • NPI 1609175843
  NPD

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1396354171",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SAINT LOUIS AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041279",
            "telephone_number": "817-294-0934",
            "fax_number": "817-294-1488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 S Westmeadow Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760339139",
            "country_code": "US",
            "telephone_number": "817-294-0934",
            "fax_number": "817-294-1488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "729 W Bedford Euless Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "760533941",
            "country_code": "US",
            "telephone_number": "817-294-0934",
            "fax_number": "817-294-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFERY K HAWKINS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-953-2968"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Serena Jen, MD

• 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 Jul 28, 2020; 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.