Organization Active NPI

Satir and Satir, PA

  • Family Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1700844867
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SATIR AND SATIR, PA
Practice address
4942 NE Stallings Dr
Nacogdoches, TX 75965-1265
Phone
(936) 560-9595
Fax
(936) 462-7772
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Mrs. Carolyn Cogburn
Title
Office Manager
Phone
(936) 560-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4942 NE Stallings Dr
Nacogdoches, TX 75965-1265

Mailing address

PO Box 631940
Nacogdoches, TX 75963-1940
Phone (936) 560-9595

Other identifiers 1

IdentifierTypeStateIssuer
153214501MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081031000499 TX Part B Supplier - Clinic/Group Practice 3173682416 Receives reassigned benefits from 2 practitioners
Practice locations: Nacogdoches, 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
45D1003130Satir and Satir, PA4942 NE Stallings, Nacogdoches, TX 75965Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

333 N FM 95
Garrison, TX 75946
Phone (936) 347-2234

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

4942 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 560-9595

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73183

Practitioners & affiliated clinicians

Practitioners 2

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": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1700844867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631940",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759631940",
            "telephone_number": "936-560-9595",
            "fax_number": "936-462-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4942 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651265",
            "telephone_number": "936-560-9595",
            "fax_number": "936-462-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATIR AND SATIR, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "COGBURN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-560-9595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153214501",
            "state": "TX"
        }
    ],
    "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 May 18, 2010; 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.