NPIMap

Individual provider Active NPI

Loyd G. Whitley, M.D.

  • Pulmonary Disease Physician
  • Nacogdoches, TX
National Provider Identifier
1821093360
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
F6346 Issued in TX
Practice address
4848 NE Stallings Dr
Ste 100
Nacogdoches, TX 75965-1239
Phone
(936) 205-5960
Fax
(936) 205-5963
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 014335 LA
Pulmonary Disease Physician 207RP1001X F6346 TX Primary

Addresses

Primary practice location

4848 NE Stallings Dr
Ste 100
Nacogdoches, TX 75965-1239

Mailing address

4848 NE Stallings Dr
Ste 100
Nacogdoches, TX 75965-1239
Phone (936) 205-5960

Other identifiers 1

IdentifierTypeStateIssuer
1943410MedicaidLA

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
I20110713000645 TX Practitioner - Pulmonary Disease 8224013461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Tulane University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

4848 NE Stallings Dr
Nacogdoches, TX 75965-1256
Phone (936) 568-3110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14335LAMDPharmacist
014335LAMDPulmonary Disease Physician
F6346TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2017 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2017 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Pulmonary Medicine Associates Pulmonary Disease PastSince Jul 1, 1982 Accepting new patients

Locations

631 N Resler Dr
Ste 101
El Paso, TX 79912
Phone (915) 842-0676

4848 NE Stallings Dr
Ste 207
Nacogdoches, TX 75965
Phone (936) 462-4214

4848 NE Stallings Dr
Ste 100
Nacogdoches, TX 75965
Phone (936) 205-5960

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: loyd.whitley.p65@direct.tenet.nextgenshare.com
  • Direct secure messaging: loyd.whitley.1@1438.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1821093360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR",
            "address_2": "STE 100",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651239",
            "telephone_number": "936-205-5960",
            "fax_number": "936-205-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR",
            "address_2": "STE 100",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651239",
            "telephone_number": "936-205-5960",
            "fax_number": "936-205-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "LOYD",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "014335",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "F6346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1943410",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.