Individual provider Active NPI

James Ethan Hancock, MD

  • Pediatrics Physician
  • Midlothian, TX
National Provider Identifier
1487150645
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S9513 Issued in TX
Practice address
1441 S Midlothian Pkwy Ste 100
Midlothian, TX 76065-5592
Phone
(469) 800-9600
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S9513 TX Primary

Addresses

Primary practice location

1441 S Midlothian Pkwy Ste 100
Midlothian, TX 76065-5592

Mailing address

1441 S Midlothian Pkwy
Midlothian, TX 76065-5591
Phone (469) 800-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhancock916301@direct.sw.org

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
I20220104000782 TX Practitioner - Pediatric Medicine 4183971443 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Pediatrics Current Accepting new patients
Healthtexas Provider Network CurrentSince Jan 31, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 31, 2022 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

1441 S Midlothian Pkwy
Ste 100
Midlothian, TX 76065
Phone (469) 800-9600

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: jhancock916301@direct.sw.org

Organizations & group practices 4

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1487150645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 S MIDLOTHIAN PKWY",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655591",
            "telephone_number": "469-800-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 S MIDLOTHIAN PKWY STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655592",
            "telephone_number": "469-800-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "JAMES",
        "middle_name": "ETHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S9513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhancock916301@direct.sw.org",
            "affiliation": "N",
            "address_1": "1441 S Midlothian Pkwy Ste 100",
            "city": "Midlothian",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760655592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.