Individual provider Active NPI

Jamie Ann Metcalf-Kelly, M.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1619170230
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0975 Issued in TX
Practice address
3821 W Spring Creek Pkwy
Plano, TX 75023-3808
Phone
(972) 599-0077
Fax
(972) 599-0030
NPI assigned
Jun 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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 N0975 TX
Family Medicine Physician 207Q00000X 24036 OK
Family Medicine Physician 207Q00000X N0975 TX Primary

Addresses

Primary practice location

3821 W Spring Creek Pkwy
Plano, TX 75023-3808

Mailing address

645 E State Highway 121 Ste 600
Coppell, TX 75019-7942
Phone (972) 745-7500

Other practice location 1

5301 W Lovers Ln
Suite 109
Dallas, TX 75209-4221
Phone (214) 352-7800

Other practice location 2

5301 W Lovers Ln
Suite 109
Dallas, TX 75209-4221
Phone (214) 352-7800

Other names 1

  • Jamie Ann Metcalf Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090410000106 TX Practitioner - Family PracticePractitioner - Emergency Medicine 6507913498 Reassigns benefits to 3 organizations
I20200504000512 OK Practitioner - Emergency Medicine 6507913498 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0975TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Apr 29, 2020 Accepting new patients
Molina Care Connections, LLC. CurrentSince Jan 23, 2018 Accepting new patients
Plano Urgent Care LLC PastSince Jul 1, 2014 Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Primamed Physicians PLLC Past Accepting new patients
CD Urgent Care Center 5, PLLC Past Accepting new patients
Primary Health Physicians, PLLC PastSince Aug 22, 2024 Accepting new patients
Shawnee Trail Emergency Physicians Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

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

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

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

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

Organizations & group practices 11

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": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1619170230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E STATE HIGHWAY 121 STE 600",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197942",
            "telephone_number": "972-745-7500",
            "fax_number": "972-745-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 W SPRING CREEK PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750233808",
            "telephone_number": "972-599-0077",
            "fax_number": "972-599-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 W Lovers Ln",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752094221",
            "country_code": "US",
            "telephone_number": "214-352-7800",
            "fax_number": "214-358-2760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 W Lovers Ln",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752094221",
            "country_code": "US",
            "telephone_number": "214-352-7800",
            "fax_number": "214-358-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METCALF-KELLY",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N0975",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24036",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "METCALF",
            "middle_name": "ANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.