Billy Dan Carson, MD
Individual provider Active NPI Family Medicine Physician · Jacksonville, TX
NPI 1962475418 · NPPES record last updated Oct 10, 2014
Key facts
- NPI
- 1962475418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K7687 (TX)
- Practice address
- 2026 S. Jackson
Jacksonville, TX 75766 - Phone
- (903) 586-5678
- Fax
- (903) 541-0790
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mother Frances Hospital Jacksonville
Practice addresses (Care Compare)
2010 S Jackson St
Christus Mother Frances Hospital Jacksonvil
Jacksonville, TX 75766-5822
Phone (903) 541-4548
2026 S Jackson St
Jacksonville, TX 75766-5822
Hospital & facility affiliations
- Christus Homecare
- Traditions Health
- Christus Mother Frances Hospital- Jacksonville
- Christus Mother Frances Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040421001526 | TX | Practitioner - Family Practice | 0345236725 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| Trincare Inc | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Trinity Clinic | Family Medicine | Past | Accepting new patients |
| Texas Oncology PA | Past | Accepting new patients |
Locations
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
910 E Houston St
Ste 550
Tyler, TX 75702
Phone (903) 510-8718
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- bcarson5507@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K7687 | TX | Yes |
Addresses
Primary practice location
2026 S. Jackson
Jacksonville, TX 75766
Mailing address
PO Box 847522
Dallas, TX 75284-7522
Phone (903) 531-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104178207 | Medicaid | TX | |
| 8A9567 | Other | TX | BCBS |
Other providers in Jacksonville, TX
- Charles P Cameron
- Traci Cameron
- Kimberly Joy Canon
- Jack David Capps
- Brad Glenn Carroll
- Glenda Joyce Casteel
- Center Care Clinic PLLC.
- Anup Chabra
- Charles Burk
- Nirmala Nandini Cheatham
All providers in Jacksonville, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.