Ellis County Medical Associates

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ELLIS COUNTY MEDICAL ASSOCIATES

Practice address

802 W Lampasas St
Ennis, TX 75119-4536

Phone

(972) 875-4700

Fax

(972) 878-4527

NPI assigned

Sep 12, 2006

Last updated

Apr 4, 2023By 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

Larry A Jinks, MDNPI 1750485306

Title

President

Phone

(972) 875-4700

Specialties & licenses 1

Addresses

Other identifiers 1

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGFCAA

Practitioners 10

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.

• Larry A Jinks, MD

  • Internal Medicine Physician
  • Ennis, TX
  • NPI 1750485306
  Medicare reassignment Care Compare group NPD Authorized official
• Shannon Adkins Childs, ACNP

  • Acute Care Nurse Practitioner
  • Ennis, TX
  • NPI 1689680761
  Medicare reassignment Care Compare group NPD
• Susanna Ferguson, RN, FNP

  • Family Nurse Practitioner
  • Ennis, TX
  • NPI 1669922100
  Medicare reassignment Care Compare group NPD
• Merle Ann Filecia, FNP-C

  • Family Nurse Practitioner
  • Ennis, TX
  • NPI 1447389804
  Medicare reassignment Care Compare group NPD
• Nandish D Patel, APN

  • Gerontology Nurse Practitioner
  • Ennis, TX
  • NPI 1699545996
  Medicare reassignment Care Compare group NPD
• Miatta Ruth Sawyerr, NP

  • Nurse Practitioner
  • Ennis, TX
  • NPI 1558031922

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Robert A Silverman, MD

  • Internal Medicine Physician
  • Ennis, TX
  • NPI 1841394491
  Medicare reassignment Care Compare group NPD
• Tonya J Youngblood, MD

  • Family Medicine Physician
  • Pittsburg, TX
  • NPI 1295701969
  Medicare reassignment NPD
• Chance Turner, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1013318757

  TX

  Medicare reassignment NPD
• Swati Pullamaraju, M.D

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1982915633
  NPD

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1942304696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194536",
            "telephone_number": "972-875-4700",
            "fax_number": "972-878-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194536",
            "telephone_number": "972-875-4700",
            "fax_number": "972-878-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS COUNTY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "JINKS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-875-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082028402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian Renee Durham
• Diana Dvorak, RPH, PHARMD
• Eastland Memorial Hospital District (Legend Oaks Healthcare and Rehabilitation - Ennis)
• Edc Dental Center PLLC
• Ellis County Coalition for Health Options (Hope Clinic)
• Ellis County Sleep Center, LLC
• Ellis Emergency Group PA
• Ellis Pain & Pain Rehabilitation Center
• Cody Ely
• Emmanuel E Sackey MD, PA (dba Ennis Childrens Clinic)

• Nurse Practitioner in Ennis, TX
• Providers in Ennis, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.