NPIMap

Individual provider Active NPI

Chris-Gerald Ferguson

  • Family Medicine Physician
  • San Angelo, TX
National Provider Identifier
1760813547
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7365 Issued in TX
Practice address
220 E. Harris
San Angelo, TX 76903
Phone
(325) 481-2000
Fax
(325) 481-2255
NPI assigned
Dec 4, 2013
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q7365 TX Primary

Addresses

Primary practice location

220 E. Harris
San Angelo, TX 76903

Mailing address

PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511

Other identifiers 1

IdentifierTypeStateIssuer
358866701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629001065 TX Practitioner - Family Practice 3870884430 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Royal Haven MedicalGroup PAC ID 4284053026, 6 clinicians

Practice addresses (Care Compare)

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511

2384 Hwy 287 N
Suite 216
Mansfield, TX 76063-9207
Phone (817) 400-0433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

Merit-based Incentive Payment System (MIPS)

Final score
64.13 of 100Reported as group
Quality
29.63
Promoting interoperability
100
Improvement activities
40
Cost
17.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7365TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic CurrentSince Aug 1, 2016 Accepting new patients
Desoto Healthcare Clinic LLC Family Medicine CurrentSince May 19, 2022 Accepting new patients
Royal Haven Medical CurrentSince Jun 13, 2023 Accepting new patients
Shannon Clinic Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Happy Bridge Primary Care & Home Health PLLC PastSince Nov 6, 2025 Accepting new patients

Locations

860 Hebron Pkwy
Ste 704
Lewisville, TX 75057
Phone (214) 777-2703

2384 Highway 287 N
Ste 216
Mansfield, TX 76063
Phone (682) 400-8577

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

220 E Harris Ave
San Angelo, TX 76903
Phone (325) 481-2000

Interoperability endpoints

  • Direct secure messaging: cferguson6623@shannonhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIEAED/Endpoint/FIEAED

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1760813547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-658-1511",
            "fax_number": "325-481-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E. HARRIS",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-481-2000",
            "fax_number": "325-481-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "CHRIS-GERALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-04",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358866701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.