Organization Active NPI

Dr. Kish MD, LLC

  • Family Medicine Physician
  • Gilmer, TX
National Provider Identifier
1841145083
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR. KISH MD, LLC
Doing business as
Mind Body Spirit - DPC, PLLC
Practice address
108 N Trinity St
Gilmer, TX 75644-2234
Phone
(903) 841-3052
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Dr. Kish Carlton, MDNPI 1194144246
Title
Physician
Phone
(903) 841-3052

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

108 N Trinity St
Gilmer, TX 75644-2234

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Other names 1

  • Mind Body Spirit - DPC, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

108 N Trinity St
Gilmer, TX 75644
Phone (903) 841-3052

Practitioners & affiliated clinicians

Practitioners 1

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": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1841145083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N TRINITY ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756442234",
            "telephone_number": "903-841-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KISH MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "KISH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "903-841-3052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Spirit - DPC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilmer, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.