Individual provider Active NPI

Sheri C Gaines, MD

  • Psychiatry Physician
  • Huntsville, TX
National Provider Identifier
1730161423
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H9937 Issued in TX
Practice address
284 Interstate 45 S Ste 1
Huntsville, TX 77340-4967
Phone
(936) 438-8200
Fax
(936) 438-8527
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H9937 TX Primary

Addresses

Primary practice location

284 Interstate 45 S Ste 1
Huntsville, TX 77340-4967

Mailing address

PO Box 545
Huntsville, TX 77342-0545
Phone (281) 530-5600

Other identifiers 4

IdentifierTypeStateIssuer
00R12XOtherTXBLUE CROSS
123805702MedicaidTX
260049562OtherTXRAILROAD MEDICARE
8AJ820OtherTXBLUE CROSS

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
I20051013000367 TX Practitioner - Psychiatry 1153346606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9937TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sheri C Gaines MD PA Psychiatry CurrentSince May 29, 2002 Accepting new patients
Tri-County Behavioral Healthcare PastSince Jun 6, 2016 Accepting new patients

Locations

284 Interstate 45 S
Ste 1
Huntsville, TX 77340
Phone (936) 438-8200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1730161423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773420545",
            "telephone_number": "281-530-5600",
            "fax_number": "936-438-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 INTERSTATE 45 S STE 1",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404967",
            "telephone_number": "936-438-8200",
            "fax_number": "936-438-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "SHERI",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H9937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00R12X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123805702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260049562",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8AJ820",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.