Active NPI
John H Fields, PA
- Physician Assistant
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04509
- Practice address
- 1001 W Fairmont St
Longview, TX 75604-3511 - Phone
- (903) 758-2610
- Fax
- (903) 758-7081
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04509 | TX | Primary |
Addresses
Primary practice location
1001 W Fairmont St
Longview, TX 75604-3511
Mailing address
1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610
Other practice location 1
1761 W Loop 281
Longview, TX 75604-2734
Phone (903) 758-2610
Other practice location 2
802 Medical Cir Ste 101
Longview, TX 75605-5169
Phone (903) 758-2610
Other practice location 3
825 Medical Dr
Tyler, TX 75701-2143
Phone (903) 758-2610
Other practice location 4
1901 Mulberry Ave Ste A
MT Pleasant, TX 75455-2369
Phone (903) 758-2610
Other practice location 5
2131 S Mobberly Ave
Longview, TX 75602-3563
Phone (903) 758-2610
Other practice location 6
1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610
Other practice location 7
425 N Fredonia St
Longview, TX 75601-6464
Phone (903) 758-2610
Other practice location 8
1711 S Henderson Blvd Ste 400
Kilgore, TX 75662-3592
Phone (903) 758-2610
Other practice location 9
602 Titus St Ste 130
Gilmer, TX 75644-1780
Phone (903) 758-2610
Other practice location 10
201 E Loop 281
Longview, TX 75605-7911
Phone (903) 758-2610
Other practice location 11
705 E Marshall Ave Ste 3000
Longview, TX 75601-5661
Phone (903) 758-2610
Other practice location 12
2015 Mulberry Ave Ste 250
MT Pleasant, TX 75455-2927
Phone (903) 758-2610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N8691 | Other | TX | BLUE CROSS |
| 181343801 | Medicaid | TX |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050909000576 | TX | Practitioner - Physician Assistant | 9032141031 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Longview Wellness Center Inc
Practice addresses (Care Compare)
2131 S Mobberly Ave
Longview, TX 75602-3563
Phone (903) 758-2610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61288 | CA | MD | Pharmacist |
| 659 | NE | MD | Speech-Language Pathologist |
| PA04509 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Wellness Center Inc | Current | Accepting new patients | |
| GS Physician Services | Past | Accepting new patients | |
| Longview Wellness Center Inc | Past | Accepting new patients | |
| Omaha Emergency Physicians PC | Past | Accepting new patients | |
| Longview Emergency Medicine Associates PLLC | Physician Assistant | Past | Accepting new patients |
| Longview Wellness Center Inc | Past | Accepting new patients |
Locations
602 Titus St
Ste 130
Gilmer, TX 75644
1711 S Henderson Blvd
Ste 400
Kilgore, TX 75662
Phone (903) 984-1394
201 E Loop 281
Longview, TX 75605
425 N Fredonia St
Longview, TX 75601
Phone (903) 234-1452
1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763
1761 W Loop 281
Longview, TX 75604
Phone (903) 297-1733
1701 Pine Tree Rd
Longview, TX 75604
Phone (903) 295-5151
705 E Marshall Ave
Ste 3000
Longview, TX 75601
Phone (903) 212-4763
802 Medical Cir
Ste 101
Longview, TX 75605
Phone (903) 753-7658
2131 S Mobberly Ave
Longview, TX 75602
Phone (903) 315-5750
1001 W Fairmont St
Longview, TX 75604
2015 Mulberry Ave
Ste 250
Mt Pleasant, TX 75455
Phone (903) 572-4095
1901 Mulberry Ave
Ste A
Mt Pleasant, TX 75455
825 Medical Dr
Tyler, TX 75701
Phone (903) 533-0733
Organizations & group practices 25
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.
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1942269493
TX
-
- Emergency Medicine Physician
- Longview, TX
- NPI 1114607611
TX
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1770358582
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1093470221
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1093491243
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1417779554
-
- Federally Qualified Health Center (FQHC)
- Tyler, TX
- NPI 1558957662
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1578369922
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1629890801
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1699571091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1730179433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 E MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015602",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W FAIRMONT ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756043511",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081"
}
],
"practiceLocations": [
{
"address_1": "1761 W Loop 281",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756042734",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "802 Medical Cir Ste 101",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756055169",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Medical Dr",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012143",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 Mulberry Ave Ste A",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "TX",
"postal_code": "754552369",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2131 S Mobberly Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756023563",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1107 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015602",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 N Fredonia St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756016464",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 S Henderson Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Kilgore",
"state": "TX",
"postal_code": "756623592",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "602 Titus St Ste 130",
"address_purpose": "LOCATION",
"city": "Gilmer",
"state": "TX",
"postal_code": "756441780",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E Loop 281",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756057911",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "705 E Marshall Ave Ste 3000",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015661",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2015 Mulberry Ave Ste 250",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "TX",
"postal_code": "754552927",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIELDS",
"first_name": "JOHN",
"middle_name": "H",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8N8691",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181343801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.