NPIMap

Organization Active NPI

Nobility Medical PLLC

  • Primary Care Clinic/Center
  • Prosper, TX
National Provider Identifier
1730639113
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NOBILITY MEDICAL PLLC
Practice address
1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Phone
(469) 296-1049
Fax
(844) 209-9082
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Jeremy Don Evans, DC
Title
Authorized Official
Phone
(469) 748-7699

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1061 N Coleman St Ste 10
Prosper, TX 75078-2318

Mailing address

1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Phone (469) 296-1049

Other practice location 1

801 N Grand Ave
Gainesville, TX 76240-3573
Phone (940) 665-4121

Other practice location 2

1218 N Bonnie Brae St Ste 100
Denton, TX 76201-5487
Phone (940) 382-7425

Other practice location 3

8000 Eldorado Pkwy Ste B
McKinney, TX 75070-1739
Phone (469) 678-7198

Other practice location 4

111 W 5th St
Justin, TX 76247-9622
Phone (940) 255-6552

Other practice location 5

4674 McDermott Rd Ste 308
Plano, TX 75024-7797
Phone (972) 424-4243

Other practice location 6

1306 13th St
Bridgeport, TX 76426-2454
Phone (940) 255-6552

Other names 1

  • Woodlands Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161202000409 TX Part B Supplier - Clinic/Group Practice 6002196300 Receives reassigned benefits from 32 practitioners
Practice locations: Celina, TX; Prosper, TX; Plano, TX; Gainesville, TX; McKinney, TX; Denton, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2153272Nobility Medical, PLLC111 W 5TH St, Justin, TX 76247Certificate of waiverAug 22, 2026
45D2165954Nobility Medical, PLLC1061 N Coleman St Suite 10, Prosper, TX 75078Certificate of waiverMay 7, 2027
45D2174299Nobility Medical, PLLC1218 N Bonnie Brae St Suite 100, Denton, TX 76201Certificate of waiverOct 28, 2027
45D2181690Nobility Medical, PLLC801 N Grand Ave, Gainesville, TX 76240Certificate of waiverApr 8, 2028
45D2258892Nobility Medical, PLLC4674 McDermott Rd Suite 308, Plano, TX 75024Certificate of waiverApr 27, 2028
45D2299281Nobility Medical, PLLC8000 Eldorado Pkwy BLDG C Suite B, McKinney, TX 75070Certificate of waiverFeb 15, 2028

National Provider Directory

National Provider Directory

Locations

1903 Doctors Hospital Dr
Ste 34
Bridgeport, TX 76426
Phone (940) 627-6201

4228 N Central Expy
Ste 104
Dallas, TX 75206
Phone (214) 520-1006

4228 N Central Expy
Dallas, TX 75206
Phone (214) 566-1551

6312 Azle Ave
Ste 200
Lake Worth, TX 76135
Phone (682) 841-1056

1061 N Coleman St
Ste 10
Prosper, TX 75078
Phone (940) 365-9400

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1730639113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782318",
            "telephone_number": "469-296-1049",
            "fax_number": "844-209-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N COLEMAN ST STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782318",
            "telephone_number": "469-296-1049",
            "fax_number": "844-209-9082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762403573",
            "country_code": "US",
            "telephone_number": "940-665-4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1218 N Bonnie Brae St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762015487",
            "country_code": "US",
            "telephone_number": "940-382-7425",
            "fax_number": "940-382-7432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 Eldorado Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750701739",
            "country_code": "US",
            "telephone_number": "469-678-7198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Justin",
            "state": "TX",
            "postal_code": "762479622",
            "country_code": "US",
            "telephone_number": "940-255-6552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4674 McDermott Rd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750247797",
            "country_code": "US",
            "telephone_number": "972-424-4243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1306 13th St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "TX",
            "postal_code": "764262454",
            "country_code": "US",
            "telephone_number": "940-255-6552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOBILITY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-748-7699",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.