Individual provider Active NPI

Gerald Justin Enox, RN, BSN, FNP-C

  • Family Nurse Practitioner
  • Honey Grove, TX
National Provider Identifier
1932688280
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1006721 Issued in TX
Practice address
1301 E Main St
Honey Grove, TX 75446-1268
Phone
(903) 378-3444
Fax
(903) 378-3445
NPI assigned
Aug 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1006721 TX Primary

Addresses

Primary practice location

1301 E Main St
Honey Grove, TX 75446-1268

Mailing address

950 Jana St
Reno, TX 75462-6110
Phone (903) 421-3809

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910001048 TX Practitioner - Nurse Practitioner 2264850049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1006721TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Puckett Family Clinic, P.C. CurrentSince Jul 29, 2020 Accepting new patients

Locations

1301 E Main St
Honey Grove, TX 75446
Phone (903) 378-3444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1932688280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 JANA ST",
            "city": "RENO",
            "state": "TX",
            "postal_code": "754626110",
            "telephone_number": "903-421-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E MAIN ST",
            "city": "HONEY GROVE",
            "state": "TX",
            "postal_code": "754461268",
            "telephone_number": "903-378-3444",
            "fax_number": "903-378-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOX",
        "first_name": "GERALD",
        "middle_name": "JUSTIN",
        "credential": "RN, BSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1006721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honey Grove, TX

Sources for this page

Verify at the official NPI Registry.