Active NPI
Peter Kevin Meyers, M.D.
- Gastroenterology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G9987
- Practice address
- 1720 South Beckham Ave
Tyler, TX 75701 - Phone
- (903) 595-5101
- Fax
- (903) 597-2314
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G9987 | TX | Primary |
Addresses
Primary practice location
1720 South Beckham Ave
Tyler, TX 75701
Mailing address
1720 South Beckham Ave
Tyler, TX 75701
Phone (903) 595-5101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129811906 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Hopkins County Hospital District | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients |
Locations
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
Interoperability endpoints
- peterm@direct.hcmh.md
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1306896253
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Rural Acute Care Hospital
- Sulphur Springs, TX
- NPI 1184618548
-
- Psychiatric Hospital Unit
- Valdosta, GA
- NPI 1033160791
-
- Emergency Medicine Physician
- Valdosta, GA
- NPI 1457648313
-
- Ambulance
- Valdosta, GA
- NPI 1558141671
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1437162716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 SOUTH BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "75701",
"telephone_number": "903-595-5101",
"fax_number": "903-597-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 SOUTH BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "75701",
"telephone_number": "903-595-5101",
"fax_number": "903-597-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "PETER",
"middle_name": "KEVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "G9987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129811906",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.