Individual provider Active NPI

Kerry L Lockett, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Ballinger, TX
National Provider Identifier
1568417673
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
F9745 Issued in TX
Practice address
608 Avenue B
Ballinger, TX 76821-2406
Phone
(325) 365-2531
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X F9745 TX
Family Medicine Physician 207Q00000X F9745 TX
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X F9745 TX Primary

Addresses

Primary practice location

608 Avenue B
Ballinger, TX 76821-2406

Mailing address

517 S Main St
Rising Star, TX 76471-5205
Phone (830) 422-1535

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
I20041202001056 TX Practitioner - Emergency MedicinePractitioner - Family Practice 9436115300 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

1601 W 11TH PL
Big Spring, TX 79720-4114
Phone (432) 263-1211

Hospital & facility affiliations

  • Medical Arts Hospital Hospital, Lamesa, TX, CCN 450489

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens Memorial Hospital District Current Accepting new patients
Ballinger Memorial Hospital District CurrentSince Feb 13, 2024 Accepting new patients
Fisher County Hospital District CurrentSince Mar 3, 2024 Accepting new patients
County of Yoakum CurrentSince May 24, 2024 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Fisher County Hospital District Emergency Medicine CurrentSince Mar 3, 2024 Accepting new patients
Stephens Memorial Hospital District CurrentSince Nov 2, 2018 Accepting new patients
Maverick Emergency Medicine Associates PA Emergency Medicine CurrentSince Oct 9, 2007 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Oct 2, 2018 Accepting new patients
Comanche County Medical Center Company CurrentSince Feb 16, 2019 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Oct 5, 2018 Accepting new patients
Ballinger Memorial Hospital District Emergency Medicine CurrentSince Feb 13, 2024 Accepting new patients
Stephens Memorial Hospital District CurrentSince Nov 2, 2018 Accepting new patients
Comanche County Medical Center Company CurrentSince Feb 16, 2019 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
County of Yoakum Emergency Medical Services CurrentSince May 24, 2024 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Locations

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

101 S Hartford St
Breckenridge, TX 76424
Phone (254) 559-3363

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1568417673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 S MAIN ST",
            "city": "RISING STAR",
            "state": "TX",
            "postal_code": "764715205",
            "telephone_number": "830-422-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 AVENUE B",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768212406",
            "telephone_number": "325-365-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT",
        "first_name": "KERRY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F9745",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9745",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "F9745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballinger, TX

Sources for this page

Verify at the official NPI Registry.