Individual provider Active NPI

Patrick Neill Gammill

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1578062246
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136237 Issued in TX
Practice address
505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone
(936) 634-8311
Fax
(936) 637-8551
NPI assigned
Feb 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136237 TX Primary

Addresses

Primary practice location

505 S John Redditt Dr
Lufkin, TX 75904-3120

Mailing address

5254 Daniel McCall Dr
Lufkin, TX 75904-0827
Phone (936) 414-2598

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180228001267 TX Practitioner - Nurse Practitioner 8820359250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dmctx2, PLLCGroup PAC ID 6002149135, 4 clinicians

Practice addresses (Care Compare)

410 Gaslight Blvd
Lufkin, TX 75904-3123
Phone (936) 639-5150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Emergency Medicine Associates PA CurrentSince Jan 22, 2018 Accepting new patients
Urgent Health Solutions, PLLC CurrentSince Oct 25, 2018 Accepting new patients
Dmctx2, PLLC CurrentSince Jun 10, 2019 Accepting new patients

Locations

2132 S 1st St
Lufkin, TX 75901
Phone (936) 634-3627

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

410 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 639-2338

Organizations & group practices 3

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1578062246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5254 DANIEL MCCALL DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759040827",
            "telephone_number": "936-414-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043120",
            "telephone_number": "936-634-8311",
            "fax_number": "936-637-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMILL",
        "first_name": "PATRICK",
        "middle_name": "NEILL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.