Individual provider Active NPI

Kevin Scott Lawrence, MD

  • Family Medicine Physician
  • Henderson, TX
National Provider Identifier
1720078736
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1106 Issued in TX
Practice address
105 N High St
Henderson, TX 75652-3133
Phone
(903) 392-8259
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L1106 TX Primary

Addresses

Primary practice location

105 N High St
Henderson, TX 75652-3133

Mailing address

105 N High St
Henderson, TX 75652-3133
Phone (903) 392-8259

Other identifiers 3

IdentifierTypeStateIssuer
144952201MedicaidTX
144952205MedicaidTX
0015KAOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040913001354 TX Practitioner - Emergency MedicinePractitioner - Family Practice 9739156308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Physician Associates PLLCGroup PAC ID 1759379092, 30 clinicians

Practice addresses (Care Compare)

6901 Snider PLZ
Suite 130
Dallas, TX 75205-5649
Phone (972) 381-6690

Hospital & facility affiliations

  • Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipa ER Group PLLC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince May 1, 2025 Accepting new patients
Bonner Emergency Medicine Associates PA Past Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients

Locations

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1720078736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N HIGH ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756523133",
            "telephone_number": "903-392-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N HIGH ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756523133",
            "telephone_number": "903-392-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144952201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144952205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0015KA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.