Organization Active NPI

Etca-Naples, Inc.

  • Family Medicine Physician
  • Naples, TX
National Provider Identifier
1679794630
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9504 Issued in TX
Legal business name
ETCA-NAPLES, INC.
Practice address
101 Willis Ave
Naples, TX 75568-5870
Phone
(903) 897-5684
Fax
(903) 897-5339
NPI assigned
May 1, 2007
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
James Patrick GriffinNPI 1225014707
Title
Owner/Administrator
Phone
(903) 897-5684

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
Family Medicine Physician 207Q00000X F9504 TX Primary

Addresses

Primary practice location

101 Willis Ave
Naples, TX 75568-5870

Mailing address

101 Willis Ave
Naples, TX 75568-5870
Phone (903) 897-5684

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050415000258 TX Part B Supplier - Clinic/Group Practice 9537106083 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, TX

National Provider Directory

National Provider Directory

Locations

101 Willis Ave
Naples, TX 75568
Phone (903) 897-5684

Practitioners & affiliated clinicians

Practitioners 2

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1679794630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILLIS AVE",
            "city": "NAPLES",
            "state": "TX",
            "postal_code": "755685870",
            "telephone_number": "903-897-5684",
            "fax_number": "903-897-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIS AVE",
            "city": "NAPLES",
            "state": "TX",
            "postal_code": "755685870",
            "telephone_number": "903-897-5684",
            "fax_number": "903-897-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETCA-NAPLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "903-897-5684"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.