Regional Clinics of Longview

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REGIONAL CLINICS OF LONGVIEW

Practice address

709 Hollybrook Dr Ste 2301
Longview, TX 75605-2412

Phone

(903) 757-5804

Fax

(903) 232-2888

NPI assigned

Aug 9, 2007

Last updated

Apr 21, 2022By 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

Jennifer L Jackson

Title

Senior Director Prov Enrollment

Phone

(615) 465-3334

Specialties & licenses 15

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Nhci of Hillsboro Inc

  dba Hill Regional Hospital

  • Critical Access Hospital
  • Hillsboro, TX
  • NPI 1992285282

  Member Of

  NPD member

Locations

Practitioners 116

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.

• Cinthia Acevedo, AGACNP

  • Acute Care Nurse Practitioner
  • Longview, TX
  • NPI 1184439408
  Medicare reassignment Care Compare group NPD
• Jose Guillermo Acevedo, M.D.

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1295869006
  Medicare reassignment Care Compare group NPD
• Lora Barton

  • Acute Care Nurse Practitioner
  • Longview, TX
  • NPI 1356156657
  Medicare reassignment Care Compare group NPD
• Natalye Combs, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1710469259

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Chad Crossland

  • Acute Care Nurse Practitioner
  • Longview, TX
  • NPI 1184138901
  Medicare reassignment Care Compare group NPD
• Ranjan Dahal, MD

  • Interventional Cardiology Physician
  • Longview, TX
  • NPI 1194070482
  Medicare reassignment Care Compare group NPD
• Sarah Dawson, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1265030993
  Medicare reassignment Care Compare group NPD
• Glenn Genovese, MD

  • Pulmonary Disease Physician
  • Longview, TX
  • NPI 1265439251
  Medicare reassignment Care Compare group NPD
• Samir V Germanwala, DO

  • Cardiovascular Disease Physician
  • Longview, TX
  • NPI 1043287816
  Medicare reassignment Care Compare group NPD
• Jonathan David Greifenkamp, MD

  • Cardiovascular Disease Physician
  • Longview, TX
  • NPI 1235333808
  Medicare reassignment Care Compare group NPD
• Cassie Laine Hampton, NP

  • Acute Care Nurse Practitioner
  • Quitman, TX
  • NPI 1780227496
  Medicare reassignment Care Compare group NPD
• Virginia Hardaway, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1134570856
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1407047863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7000",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR STE 2301",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052412",
            "telephone_number": "903-757-5804",
            "fax_number": "903-232-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CLINICS OF LONGVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR DIRECTOR PROV ENROLLMENT",
        "authorized_official_telephone_number": "615-465-3334"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195792002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya L Reeder, LICENSED PROFESSIONA
• Gretchen Crosbie Reeks, OTR
• Kenneth E Reesor, MD
• Lori Ebarb Reeves, NP
• Reginald L. & Thelma J Brazzle/Almost Angels Day Care (Helping Hands Care Services)
• Regional Ep Associates PLLC
• Kimberlin Blair Reich, PT
• Carlee Reichert, RBT
• Raevyn N Reichle, LMT
• Amber Noel Reid

• Internal Medicine Physician in Longview, TX
• Providers in Longview, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.