Cline Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

J8492 Issued in TX

Legal business name

CLINE FAMILY PRACTICE

Practice address

630 Hurst St
Center, TX 75935-3414

Phone

(936) 559-8770

Fax

(936) 559-8773

NPI assigned

Apr 3, 2013

Last updated

Feb 6, 2017By 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

Kim Freeman

Title

Office Manager

Phone

(936) 559-8770

Specialties & licenses 1

Addresses

Other names 1

• Cline Family Medicine Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cline Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cline Family Practice

  • Family Medicine Physician
  • Nacogdoches, TX
  • NPI 1992168900
  NPD tax ID

Locations

Interoperability endpoints

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

Practitioners 2

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.

• Mark A Cline, M.D.

  • Family Medicine Physician
  • Nacogdoches, TX
  • NPI 1477563898
  NPD (past)
• Caroline Chance Corley, NP

  • Family Nurse Practitioner
  • Nacogdoches, TX
  • NPI 1730969429
  NPD (past)

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1942543335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651608",
            "telephone_number": "936-559-8770",
            "fax_number": "936-559-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HURST ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353414",
            "telephone_number": "936-559-8770",
            "fax_number": "936-559-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-559-8770"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J8492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cline Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Center Independent School District
• Center Nursing & Rehab LLC (Holiday Nursing Center)
• Center Rural Health Clinic
• Ajitha Chandramohan, M.D.
• Janice Kay Churchman
• Navneet Kaur Cloudy
• Amy Clouse
• Kyle Shaughnessy Coffin, D.D.S.
• Charles Collard, O.D.
• Crystal Allyn Collins, RN

• Primary Care Clinic/Center in Center, TX
• Providers in Center, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.