John K. Wolcott, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2190 Issued in TX

Practice address

5174 FM 1252 W
Kilgore, TX 75662-1961

Phone

(903) 986-1901

Fax

(903) 984-6151

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

89.53 of 100Reported as apm

Quality

79.07

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.wolcott.1@16432.direct.athenahealth.com

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

• Regional Clinics of Longview

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1407047863

  Family Medicine

  Medicare reassignment NPD
• GS Physician Services

  • Family Medicine Physician
  • Gladewater, TX
  • NPI 1356399406
  NPD (past)
• Phynet, Inc.

  dba Hugman-Kent Clinic

  • Health Service Clinic/Center
  • Gladewater, TX
  • NPI 1912174111
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1396740064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 FM 1252 W",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756621961",
            "telephone_number": "903-986-1901",
            "fax_number": "903-984-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5174 FM 1252 W",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756621961",
            "telephone_number": "903-986-1901",
            "fax_number": "903-984-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLCOTT",
        "first_name": "JOHN",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133713108",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.wolcott.1@16432.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "address_1": "5174 Fm 1252 W",
            "city": "Kilgore",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756621961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marcy Lee Whitmer, DDS
• Deborah C Williams, LPC
• Kimberley Elisabeth Williams, PTA
• Willow Bluff LLC (The Willows of Kilgore)
• Woc903 Transport LLC
• Sonja Denice Woodburn, RN
• Austin Charles Word, PA
• Marcy ( Tanya ) Marcelle Word
• Jennifer Heil Wright, PTA
• Megan Leigh Wright, FNP-C

• Family Medicine Physician in Kilgore, TX
• Providers in Kilgore, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.