Individual provider Active NPI

Kelsie Maureen Court, MD

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1982128716
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S8973 Issued in TX
Practice address
2115 S Broadway Ave
Tyler, TX 75701-4214
Phone
(903) 201-8664
NPI assigned
Aug 2, 2017
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S8973 TX Primary

Addresses

Primary practice location

2115 S Broadway Ave
Tyler, TX 75701-4214

Mailing address

PO Box 746079
Atlanta, GA 30374-6079
Phone (773) 352-1515

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201228000022 TX Practitioner - Family Practice 4486926664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Border Health ClinicGroup PAC ID 8820038565, 55 clinicians

Practice addresses (Care Compare)

1400 College Dr
Texarkana, TX 75503-3536
Phone (903) 791-1110

805 Lindsey Dr
Marshall, TX 75670-5271
Phone (903) 938-1146

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S8973TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Border Health Clinic Family Medicine CurrentSince Dec 28, 2020 Accepting new patients
East Texas Border Health Clinic Family Medicine CurrentSince Dec 28, 2020 Accepting new patients
East Texas Border Health Clinic PastSince Sep 21, 2025 Accepting new patients
East Texas Border Health Clinic PastSince Sep 5, 2021 Accepting new patients

Locations

805 Lindsey Dr
Marshall, TX 75670
Phone (903) 927-6140

1400 College Dr
Texarkana, TX 75503
Phone (903) 791-1110

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1982128716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014214",
            "telephone_number": "903-201-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURT",
        "first_name": "KELSIE",
        "middle_name": "MAUREEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S8973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.