Supracare Family Health PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUPRACARE FAMILY HEALTH PLLC

Practice address

310 E Hoskins St
New Boston, TX 75570-2727

Phone

(903) 628-7877

Fax

(903) 628-7631

NPI assigned

Jun 5, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Trey W Pirkey, NPNPI 1457553422

Title

Owner

Phone

(903) 628-7877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7280/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trey W Pirkey, NP

  • Family Nurse Practitioner
  • New Boston, TX
  • NPI 1457553422
  Medicare reassignment Authorized official
• Dawn Renee' Davis

  • Family Nurse Practitioner
  • New Boston, TX
  • NPI 1790210219
  Medicare reassignment NPD
• Erik Jacobsen, MD

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1376588210
  Medicare reassignment NPD
• Casey L Walker

  • Durable Medical Equipment & Medical Supplies
  • Texarkana, TX
  • NPI 1134722424
  NPD
• Brittney Evans

  • Family Nurse Practitioner
  • New Boston, TX
  • NPI 1679481634
  NPD (past)

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1801234596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E HOSKINS ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702727",
            "telephone_number": "903-628-7877",
            "fax_number": "903-628-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E HOSKINS ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702727",
            "telephone_number": "903-628-7877",
            "fax_number": "903-628-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPRACARE FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "PIRKEY",
        "authorized_official_first_name": "TREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-628-7877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balbir Singh, MD
• Paul A Smith, ANP
• Amber Elaine Spivey, PHARMACIST
• Mary P Stanley, ANP
• Brian Mathew Steele, DDS
• Texarkana Eye Care Center LLP (ArkLaTex Eyes- New Boston)
• Trilok at New Boston Inc. (New Boston Health Care Center)
• Joe A Vickers
• Christina Wade
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 100181)

• Primary Care Clinic/Center in New Boston, TX
• Providers in New Boston, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.