Individual provider Active NPI

John H Fields, PA

  • Physician Assistant
  • Longview, TX
National Provider Identifier
1730179433
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04509 Issued in TX
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

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8N8691OtherTXBLUE CROSS
181343801MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 22 clinicians

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. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61288CAMDPharmacist
659NEMDSpeech-Language Pathologist
PA04509TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center Inc CurrentSince Apr 1, 2024 Accepting new patients
GS Physician Services Past Accepting new patients
Longview Wellness Center Inc PastSince Nov 26, 2023 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 PastSince Jan 2, 2022 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.

View all 25

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

Verify at the official NPI Registry.