Individual provider Active NPI

Gregory C Lind, MD

  • General Practice Physician
  • San Angelo, TX
National Provider Identifier
1609854165
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G8244 Issued in TX
Practice address
6846 Golden LN
San Angelo, TX 76904-8176
Phone
(325) 277-8043
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G8244 TX
General Practice Physician 208D00000X G8244 TX Primary

Addresses

Primary practice location

6846 Golden LN
San Angelo, TX 76904-8176

Mailing address

6846 Golden LN
San Angelo, TX 76904-8176
Phone (325) 277-8043

Other identifiers 1

IdentifierTypeStateIssuer
138991815MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000306 TX Practitioner - Family Practice 4587573977 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8244TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Nov 17, 2017 Accepting new patients
Health and Human Services Commission General Practice Current Accepting new patients
Concord Medical Group PLLC CurrentSince Nov 17, 2017 Accepting new patients
Health and Human Services Commission CurrentSince Aug 26, 2019 Accepting new patients
Health and Human Services Commission Family Medicine CurrentSince Aug 26, 2019 Accepting new patients
Shannon Clinic Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

11640 US Highway 87 N
Carlsbad, TX 76934
Phone (325) 465-2312

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

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

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1609854165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6846 GOLDEN LN",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769048176",
            "telephone_number": "325-277-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 GOLDEN LN",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769048176",
            "telephone_number": "325-277-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "GREGORY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8244",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G8244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138991815",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.