Individual provider Active NPI

Rachel Ann Everson, M.D.

  • Obstetrics & Gynecology Physician
  • Tyler, TX
National Provider Identifier
1992936603
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N3603 Issued in TX
Practice address
928 N Glenwood Blvd
Tyler, TX 75702
Phone
(903) 535-9041
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N3603 TX Primary

Addresses

Primary practice location

928 N Glenwood Blvd
Tyler, TX 75702

Mailing address

523 S Fannin Ave
Tyler, TX 75702-8204
Phone (903) 535-9041

Other practice location 1

1005 W Ralph Hall Pkwy
Ste 217
Rockwall, TX 75032-6658
Phone (972) 771-1935

Other names 1

  • Dr. Rachel Ann Davis Professional name

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
I20110114000412 TX Practitioner - Obstetrics/Gynecology 0648469148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyler Family Circle of CareGroup PAC ID 4587812888, 28 clinicians
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

13172 State Hwy 64 E
Tyler, TX 75707-5340
Phone (903) 606-2212

214 E Houston St
Tyler, TX 75702-8131
Phone (903) 535-9041

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (800) 967-2289

800 E Dawson St
Tyler, TX 75701-2036
Phone (800) 967-2289

928 N Glenwood Blvd
Tyler, TX 75702-5055
Phone (903) 535-9041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center Inc Obstetrics & Gynecology CurrentSince May 18, 2021 Accepting new patients
Longview Wellness Center, Inc. Obstetrics & Gynecology CurrentSince May 18, 2021 Accepting new patients
Longview Wellness Center, Inc Obstetrics & Gynecology Current Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Feb 20, 2020 Accepting new patients
Tyler Family Circle of Care CurrentSince Jan 19, 2025 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology PastSince Jan 2, 2022 Accepting new patients
Mother Frances Hospital Regional Health Care Center Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1701 Pine Tree Rd
Longview, TX 75604
Phone (903) 295-5151

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

928 N Glenwood Blvd
Tyler, TX 75702
Phone (903) 533-7400

523 S Fannin Ave
Tyler, TX 75702

Interoperability endpoints

  • Direct secure messaging: reverson163169@christushealth.direct-ci.net
  • Direct secure messaging: rachel.everson@hca3.eclinicaldirectplus.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1992936603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S FANNIN AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028204",
            "telephone_number": "903-535-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 N GLENWOOD BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75702",
            "telephone_number": "903-535-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 W Ralph Hall Pkwy",
            "address_2": "Ste 217",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326658",
            "country_code": "US",
            "telephone_number": "972-771-1935",
            "fax_number": "972-771-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N3603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DAVIS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.