Active NPI
Lucianne Marin, M.D.
- Pediatrics Physician
- Athens, TX
National Provider Identifier
1821024654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P8503
- Practice address
- 1001 S Palestine St
Athens, TX 75751-3614 - Phone
- (903) 535-9041
- Fax
- (903) 904-5085
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P8503 | TX | Primary |
Addresses
Primary practice location
1001 S Palestine St
Athens, TX 75751-3614
Mailing address
523 S Fannin Ave
Tyler, TX 75702-8204
Phone (903) 535-9041
Other practice location 1
214 E Houston St
Tyler, TX 75702-8131
Phone (903) 535-9041
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Family Circle of Care | Past | Accepting new patients |
Interoperability endpoints
- lmarin101440@christushealth.direct-ci.net
- lucianne.marin.p1@direct.lbucc.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Family Circle of Care
- Federally Qualified Health Center (FQHC)
- Tyler, TX
- NPI 1144575820
-
dba Family Circle of Care
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1942011903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1821024654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 S FANNIN AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757028204",
"telephone_number": "903-535-9041",
"fax_number": "903-531-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S PALESTINE ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513614",
"telephone_number": "903-535-9041",
"fax_number": "903-904-5085"
}
],
"practiceLocations": [
{
"address_1": "214 E Houston St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028131",
"country_code": "US",
"telephone_number": "903-535-9041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARIN",
"first_name": "LUCIANNE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P8503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.