Organization Active NPI

Nacogdoches Womens Center, PLLC

  • Obstetrics & Gynecology Physician
  • Nacogdoches, TX
National Provider Identifier
1669988465
Registry record updated Dec 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NACOGDOCHES WOMENS CENTER, PLLC
Practice address
4710 NE Stallings Dr
Nacogdoches, TX 75965-1615
Phone
(936) 560-2666
Fax
(936) 560-2681
NPI assigned
Dec 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2017

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

Authorized official

Name
Dr. Kyle Patrick McMorries, MDNPI 1184882581
Title
Owner
Phone
(936) 560-2666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4710 NE Stallings Dr
Nacogdoches, TX 75965-1615

Mailing address

4710 NE Stallings Dr
Nacogdoches, TX 75965-1615
Phone (936) 560-2666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180423002486 TX Part B Supplier - Clinic/Group Practice 1951664051 Receives reassigned benefits from 7 practitioners
Practice locations: Lufkin, TX; Nacogdoches, TX; Rusk, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2144139Nacogdoches Womens Center PLLC4710 NE Stallings Dr, Nacogdoches, TX 75965Certificate of waiverFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

4710 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 560-2666

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513468800000",
    "number": "1669988465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651615",
            "telephone_number": "936-560-2666",
            "fax_number": "936-560-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651615",
            "telephone_number": "936-560-2666",
            "fax_number": "936-560-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES WOMENS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-17",
        "last_updated": "2017-12-17",
        "status": "A",
        "authorized_official_last_name": "MCMORRIES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-560-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.