Active NPI
Kevin Scott Lawrence, MD
- Family Medicine Physician
- Henderson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L1106
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144952201 | Medicaid | TX | |
| 144952205 | Medicaid | TX | |
| 0015KA | Other | TX | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Texas Medical Branch at Galveston, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipa ER Group PLLC | Family Medicine | Current | Accepting new patients |
| Inpatient Physician Associates PLLC | Current | 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1285696898
-
- Emergency Medicine Physician
- Rusk, TX
- NPI 1841469244
-
- Emergency Medicine Physician
- Tyler, TX
- NPI 1326082892
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1942292255
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.