Jay C. Proctor III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F1914 Issued in TX

Practice address

6450 Folsom Dr
Beaumont, TX 77706-7269

Phone

(409) 835-0524

Fax

(409) 833-2058

NPI assigned

Aug 10, 2005

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctor's Choice Home Care Home health agency, Houston, TX, CCN 678169
• Southern Home Health Home health agency, Nederland, TX, CCN 679237
• Pulse Homecare LTD Home health agency, Beaumont, TX, CCN 457884
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment Care Compare group NPD
• Beaumont Family Practice Associates PA

  dba Southeast Texas Occupational Medicine

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1629174891
  Authorized official Same address or phone
• Crystal Beach Medical Clinic LLC

  • Family Medicine Physician
  • Crystal Beach, TX
  • NPI 1114948825
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Applied Health Care Nursing Division, Inc.

  dba Doctor's Choice Home Care

  • Home Health Agency
  • Houston, TX
  • NPI 1013911726
  Care Compare affiliation
• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Pulse Homecare, LTD.

  dba Pulse Homecare

  • Home Health Agency
  • Beaumont, TX
  • NPI 1548279888
  Care Compare affiliation
• Texas Health Care Group of the Golden Triangle, LLC

  dba Southern Home Health

  • Home Health Agency
  • Nederland, TX
  • NPI 1578673786
  Care Compare affiliation

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1538160726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 FOLSOM DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067269",
            "telephone_number": "409-835-0524",
            "fax_number": "409-833-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 FOLSOM DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067269",
            "telephone_number": "409-835-0524",
            "fax_number": "409-833-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "JAY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F1914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Anywhere, PLLC
• Prime Occupational Physicians - Texas
• Primevs
• Pristine Practices LLC
• Private Hospital Group LLP
• Corey Lynn Proenza
• Pronto Medical Services
• Prosthetic Solution Centers of America, LLC (Prosthetic Solution Center)
• Provision Imaging of Beaumont
• Provisionam (ProvisioAm, LLC)

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.