Active NPI
Jerry L Spinks
- Family Medicine Physician
- Lufkin, TX
National Provider Identifier
1427167675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E1137
- Practice address
- 410 Gaslight Blvd
Lufkin, TX 75904-3195 - Phone
- (936) 639-2338
- Fax
- (936) 639-2980
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | E1137 | TX | Primary |
Addresses
Primary practice location
410 Gaslight Blvd
Lufkin, TX 75904-3195
Mailing address
410 Gaslight Blvd
Lufkin, TX 75904-3195
Phone (936) 639-2338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E1137 | Other | LIC NUMBER | |
| AJ05 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1427167675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043195",
"telephone_number": "936-639-2338",
"fax_number": "936-639-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043195",
"telephone_number": "936-639-2338",
"fax_number": "936-639-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINKS",
"first_name": "JERRY",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E1137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC NUMBER",
"identifier": "E1137",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AJ05",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.