NPIMap

Organization Active NPI

Texas Digestive Disease Consultants, PLLC

  • Gastroenterology Physician
  • Cary, NC
National Provider Identifier
1619790821
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
Practice address
115 Kildaire Park Dr Ste 201
Cary, NC 27518-8144
Phone
(919) 816-4948
NPI assigned
Nov 5, 2024
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Kristina Kay Lowery
Title
Credentialing Manager
Phone
(469) 930-3077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

115 Kildaire Park Dr Ste 201
Cary, NC 27518-8144

Mailing address

950 E State Highway 114 Ste 200
Southlake, TX 76092-5261
Phone (214) 424-2200

Other practice location 1

2418 Blue Ridge Rd Ste 250
Raleigh, NC 27607-6482
Phone (919) 816-4948

Other practice location 2

208 Village Walk Dr
Holly Springs, NC 27540-7681
Phone (919) 816-4948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414001415 NC Part B Supplier - Clinic/Group Practice 3375531379 Receives reassigned benefits from 7 practitioners
Practice locations: Cary, NC; Holly Springs, NC; Raleigh, NC

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
TX Digestive Dis Cons9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 22

Organizations listed as members of this organization in the National Provider Directory.

View all 22

Locations

208 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 552-8911

4200 E Skelly Dr
Ste 700
Tulsa, OK 74135
Phone (918) 438-7050

6750 N MacArthur Blvd
Ste 207
Irving, TX 75039
Phone (972) 406-3000

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1619790821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E STATE HIGHWAY 114 STE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925261",
            "telephone_number": "214-424-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-816-4948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2418 Blue Ridge Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076482",
            "country_code": "US",
            "telephone_number": "919-816-4948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Village Walk Dr",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275407681",
            "country_code": "US",
            "telephone_number": "919-816-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-930-3077"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.