Individual provider Active NPI

Mary Katherine McGee, MD

  • Nephrology Physician
  • Longview, TX
National Provider Identifier
1770562183
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G9915 Issued in TX
Practice address
705 E Marshall Ave
Suite 3001
Longview, TX 75601-5573
Phone
(903) 758-0295
Fax
(903) 758-6596
NPI assigned
Jan 13, 2006
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G9915 TX Primary

Addresses

Primary practice location

705 E Marshall Ave
Suite 3001
Longview, TX 75601-5573

Mailing address

705 E Marshall Ave
Suite 3001
Longview, TX 75601-5573
Phone (903) 758-0295

Other identifiers 2

IdentifierTypeStateIssuer
TXD98499902MedicaidTX
P00207181OtherTXRAILROAD

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
I20041215000270 TX Practitioner - NephrologyPractitioner - Internal Medicine 6901863562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Treatment CenterGroup PAC ID 0244253854, 2 clinicians

Practice addresses (Care Compare)

1200 Dudley Rd
Kilgore, TX 75662-3306
Phone (903) 984-5571

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G9915TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Treatment Center CurrentSince Aug 1, 2017 Accepting new patients
Christus Good Shepherd Medical Center CurrentSince Nov 4, 2019 Accepting new patients
Hallsville Medical Clinic PLLC CurrentSince Sep 1, 2021 Accepting new patients
Christus Good Shepherd Medical Center CurrentSince Nov 4, 2019 Accepting new patients
E Remenchik MD PLLC Past Accepting new patients

Locations

1200 Dudley Rd
Kilgore, TX 75662
Phone (903) 984-5571

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

Organizations & group practices 6

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1770562183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "SUITE 3001",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015573",
            "telephone_number": "903-758-0295",
            "fax_number": "903-758-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "SUITE 3001",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015573",
            "telephone_number": "903-758-0295",
            "fax_number": "903-758-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "G9915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TXD98499902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00207181",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.