Individual provider Active NPI

Jeffrey William Sewell, MD

  • Pediatrics Physician
  • Longview, TX
National Provider Identifier
1740288430
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N7490 Issued in TX
Practice address
2131 S Mobberly Ave
Longview, TX 75602-3563
Phone
(903) 758-2610
Fax
(903) 212-7689
NPI assigned
Jul 7, 2005
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 37468 CO
Pediatrics Physician 208000000X MD2007-0623 NM
Pediatrics Physician 208000000X N7490 TX Primary

Addresses

Primary practice location

2131 S Mobberly Ave
Longview, TX 75602-3563

Mailing address

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other practice location 1

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other identifiers 1

IdentifierTypeStateIssuer
22102701MedicaidCO

Other names 1

  • Jeffrey William Vigil-Sewell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.sewell@wellnesspointe.org Direct

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
I20140529000330 TX Practitioner - Pediatric Medicine 7719908441 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37468COMDLegal Medicine
MD2007-0623NMMDPediatrics Physician
N7490TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center Inc Pediatrics CurrentSince May 11, 2018 Accepting new patients
Longview Wellness Center, Inc Pediatrics Current Accepting new patients
Longview Wellness Center Inc CurrentSince May 11, 2018 Accepting new patients
Livingston Healthcare Past Accepting new patients
Longview Wellness Center Inc Pediatrics PastSince Jan 2, 2022 Accepting new patients

Locations

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177

2131 S Mobberly Ave
Longview, TX 75602
Phone (903) 315-5750

Interoperability endpoints

  • Direct secure messaging: jeffreysewell@wp.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1740288430",
    "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": "2131 S MOBBERLY AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756023563",
            "telephone_number": "903-758-2610",
            "fax_number": "903-212-7689"
        }
    ],
    "practiceLocations": [
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CO",
            "license": "37468",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2007-0623",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N7490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22102701",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.sewell@wellnesspointe.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2131 S Mobberly Ave",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756023563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "VIGIL-SEWELL",
            "middle_name": "WILLIAM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.