Organization Active NPI

Tri-County Family Medicine PLLC

  • Family Medicine Physician
  • Gun Barrel City, TX
National Provider Identifier
1780201053
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRI-COUNTY FAMILY MEDICINE PLLC
Practice address
126 W Main St Ste C
Gun Barrel City, TX 75156-5404
Phone
(903) 887-1092
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Julie Nell Kilcrease, FNPNPI 1932400421
Title
Owner
Phone
(903) 887-1092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

126 W Main St Ste C
Gun Barrel City, TX 75156-5404

Mailing address

126 W Main St Ste C
Gun Barrel City, TX 75156-5404
Phone (903) 887-1092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200727003347 TX Part B Supplier - Clinic/Group Practice 1850715558 Receives reassigned benefits from 4 practitioners
Practice locations: Gun Barrel City, TX
O20230120002316 TX DME Supplier - Nurse PractitionerDME Supplier - Orthotic Personnel 1850715558 Practice locations: Gun Barrel City, 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
45D2263286Tri-County Family Medicine126 W Main St Ste C, Gun Barrel City, TX 75156Certificate of waiverJun 26, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tri-County Family Medicine PLLC126 W Main St, Gun Barrel City, TX 75156-5404(903) 887-1092 Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jul 1, 2020

National Provider Directory

National Provider Directory

Locations

126 W Main St
Ste C
Gun Barrel City, TX 75156
Phone (214) 912-0616

125 W Main St
Ste C
Gun Barrel City, TX 75156

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IADGDD

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1780201053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W MAIN ST STE C",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751565404",
            "telephone_number": "903-887-1092",
            "fax_number": "903-887-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W MAIN ST STE C",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751565404",
            "telephone_number": "903-887-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "KILCREASE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "NELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-887-1092",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gun Barrel City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.