Individual provider Active NPI

Jeremiah Daniel Havins, MD

  • Interventional Cardiology Physician
  • Hewitt, TX
National Provider Identifier
1427217009
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
Q4425 Issued in TX
Practice address
519 N Hewitt Dr
Hewitt, TX 76643-3039
Phone
(936) 615-9406
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Q4425 TX
Internal Medicine Physician 207R00000X Q4425 TX
Interventional Cardiology Physician 207RI0011X Q4425 TX Primary

Addresses

Primary practice location

519 N Hewitt Dr
Hewitt, TX 76643-3039

Mailing address

519 N Hewitt Dr
Hewitt, TX 76643-3039
Phone (936) 615-9406

Other identifiers 1

IdentifierTypeStateIssuer
375991203MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrJHavins@cmhs.securechart.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150805007066 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416261334 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coryell County Memorial Hospital Authority CurrentSince Sep 23, 2020 Accepting new patients
Heart of Texas Cath Lab, PLLC Cardiovascular Disease CurrentSince Apr 23, 2017 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients
Heart of Texas Surgery Center PLLC Current Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Sep 23, 2020 Accepting new patients

Locations

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

7003 Woodway Dr
Ste 307
Woodway, TX 76712
Phone (254) 235-1122

Interoperability endpoints

  • Direct secure messaging: drjhavins@cmhs.securechart.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1427217009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N HEWITT DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433039",
            "telephone_number": "936-615-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N HEWITT DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433039",
            "telephone_number": "936-615-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVINS",
        "first_name": "JEREMIAH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q4425",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q4425",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q4425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375991203",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrJHavins@cmhs.securechart.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Messaging Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hewitt, TX

Sources for this page

Verify at the official NPI Registry.