Individual provider Active NPI

Roy Alan McClintock, M.D.

  • Obstetrics & Gynecology Physician
  • Tyler, TX
National Provider Identifier
1437217494
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J2195 Issued in TX
Practice address
825 Medical Dr Ste a
Tyler, TX 75701-2143
Phone
(903) 758-2610
Fax
(903) 758-7081
NPI assigned
Dec 4, 2006
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J2195 TX Primary

Addresses

Primary practice location

825 Medical Dr Ste a
Tyler, TX 75701-2143

Mailing address

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other practice location 1

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other practice location 2

705 E Marshall Ave Ste 3000
Longview, TX 75601-5661
Phone (903) 758-2610

Other practice location 3

1100 E Lake St
Suite 260
Tyler, TX 75701-3343
Phone (903) 597-9400

Other practice location 4

2015 Mulberry Ave Ste 250
MT Pleasant, TX 75455-2927
Phone (903) 758-2610

Other practice location 5

425 N Fredonia St
Longview, TX 75601-6464
Phone (903) 758-2610

Other practice location 6

1761 W Loop 281
Longview, TX 75604-2734
Phone (903) 758-2610

Other practice location 7

802 Medical Cir Ste 101
Longview, TX 75605-5169
Phone (903) 758-2610

Other identifiers 1

IdentifierTypeStateIssuer
156047601MedicaidTX

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
I20051123000403 TX Practitioner - Obstetrics/Gynecology 2769446293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longview Wellness Center IncGroup PAC ID 1254367766, 22 clinicians

Practice addresses (Care Compare)

1701 Pine Tree Rd
Longview, TX 75604-1909
Phone (903) 758-2610

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center, Inc Obstetrics & Gynecology Current Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Longview Wellness Center, Inc Obstetrics & Gynecology CurrentSince Feb 22, 2021 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology CurrentSince Feb 22, 2021 Accepting new patients
Tyler Regional Hospital LLC Past Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients
Mother Frances Hospital Regional Health Care Center Past Accepting new patients
Four Seasons Women's Health PA Obstetrics & Gynecology Past Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology PastSince Jan 2, 2022 Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

705 E Marshall Ave
Ste 3000
Longview, TX 75601
Phone (903) 230-2608

1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

802 Medical Cir
Ste 100
Longview, TX 75605
Phone (903) 757-6042

825 Medical Dr
Ste A
Tyler, TX 75701

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71097
  • Direct secure messaging: roymcclintock@wp.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1437217494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015602",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MEDICAL DR STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012143",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015602",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 E Marshall Ave Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015661",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Lake St",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757013343",
            "country_code": "US",
            "telephone_number": "903-597-9400",
            "fax_number": "903-597-9401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Mulberry Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "TX",
            "postal_code": "754552927",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 N Fredonia St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756016464",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1761 W Loop 281",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042734",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Medical Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055169",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "ROY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J2195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156047601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.