Active NPI
James D Geddes
- Internal Medicine Physician
- Kingsville, TX
National Provider Identifier
1447308010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G1906
- Practice address
- 1311 General Cavazos Blvd
Suite F
Kingsville, TX 78363-7129 - Phone
- (361) 592-5284
- Fax
- (361) 592-1677
- NPI assigned
- Jan 8, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G1906 | TX | Primary |
Addresses
Primary practice location
1311 General Cavazos Blvd
Suite F
Kingsville, TX 78363-7129
Mailing address
1311 General Cavazos Blvd
Suite F
Kingsville, TX 78363-7129
Phone (361) 592-5284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255201 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1906 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1447308010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 GENERAL CAVAZOS BLVD",
"address_2": "SUITE F",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783637129",
"telephone_number": "361-592-5284",
"fax_number": "361-592-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 GENERAL CAVAZOS BLVD",
"address_2": "SUITE F",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783637129",
"telephone_number": "361-592-5284",
"fax_number": "361-592-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEDDES",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G1906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100255201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.