| Midsouth Transitions Medical Group | |
|
5904 Summerfield Dr Texarkana TX 75503-4306 | |
| (430) 200-4350 | |
| (866) 337-1615 |
| Full Name | Midsouth Transitions Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 5904 Summerfield Dr, Texarkana, Texas |
| Authorized Official Name and Position | Coy Williamson (PRESIDENT) |
| Authorized Official Contact | 9037333729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midsouth Transitions Medical Group 5904 Summerfield Dr Texarkana TX 75503-4306 Ph: (430) 200-4350 | Midsouth Transitions Medical Group 5904 Summerfield Dr Texarkana TX 75503-4306 Ph: (430) 200-4350 |
| NPI Number | 1790262681 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 04/09/2026 |
| Medicare PECOS PAC ID | 8628322831 |
|---|---|
| Medicare Enrollment ID | O20181106002557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790262681 | NPI | - | NPPES |
| Provider Name | Kyle W Groom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063413656 PECOS PAC ID: 2264424456 Enrollment ID: I20040330001205 |
| Provider Name | James Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073533956 PECOS PAC ID: 1658475843 Enrollment ID: I20070328000071 |
| Provider Name | Karla T Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205979341 PECOS PAC ID: 1557462744 Enrollment ID: I20070718000165 |
| Provider Name | Vernon D Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053311068 PECOS PAC ID: 1557344595 Enrollment ID: I20071024000463 |
| Provider Name | Susan E Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205007309 PECOS PAC ID: 1759452741 Enrollment ID: I20080618000764 |
| Provider Name | Jean Georges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629342514 PECOS PAC ID: 3577727536 Enrollment ID: I20120604000489 |
| Provider Name | Elizabeth A Seegers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689000887 PECOS PAC ID: 8325271448 Enrollment ID: I20140425000674 |
| Provider Name | Musaab A Zaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730473182 PECOS PAC ID: 1254559842 Enrollment ID: I20140822001561 |
| Provider Name | William H Kelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376561647 PECOS PAC ID: 3375649841 Enrollment ID: I20150114002435 |
| Provider Name | Devin D Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790180248 PECOS PAC ID: 9537476312 Enrollment ID: I20150910001453 |
| Provider Name | Mary E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578947925 PECOS PAC ID: 1759698566 Enrollment ID: I20151005002335 |
| Provider Name | Margaret C Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609886142 PECOS PAC ID: 6305803990 Enrollment ID: I20160809001192 |
| Provider Name | Brenton Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205382454 PECOS PAC ID: 9830487420 Enrollment ID: I20161014000376 |
| Provider Name | Whitney R Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215475546 PECOS PAC ID: 4587947650 Enrollment ID: I20170317000080 |
| Provider Name | Jessica M Upchurch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649720095 PECOS PAC ID: 8729366919 Enrollment ID: I20180110000868 |
| Provider Name | Angela L Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194215814 PECOS PAC ID: 9638424948 Enrollment ID: I20180608001322 |
| Provider Name | Krista Raylynn Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386119857 PECOS PAC ID: 9739433897 Enrollment ID: I20181108002652 |
| Provider Name | Raman Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629464680 PECOS PAC ID: 0648524546 Enrollment ID: I20181113000374 |
| Provider Name | Stephanie A Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316412844 PECOS PAC ID: 3476558768 Enrollment ID: I20190116002741 |
| Provider Name | Angeline Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679033203 PECOS PAC ID: 8123360856 Enrollment ID: I20190430001025 |
| Provider Name | Hope W Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487143871 PECOS PAC ID: 5092049130 Enrollment ID: I20190625000196 |
| Provider Name | Jennifer Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215468897 PECOS PAC ID: 6103194758 Enrollment ID: I20191008001100 |
| Provider Name | Caleb L Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013569508 PECOS PAC ID: 0648502039 Enrollment ID: I20191105001029 |
| Provider Name | Amanda J Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365358 PECOS PAC ID: 9032476338 Enrollment ID: I20191203000258 |
| Provider Name | Tara Lamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952866626 PECOS PAC ID: 3870929979 Enrollment ID: I20200210000999 |
| Provider Name | Kimberly Modena Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518479542 PECOS PAC ID: 2769562487 Enrollment ID: I20200211000125 |
| Provider Name | Amber Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811547524 PECOS PAC ID: 3173867405 Enrollment ID: I20200221002433 |
| Provider Name | Nicolette Silverio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942845243 PECOS PAC ID: 6709168149 Enrollment ID: I20200324002152 |
| Provider Name | Joshua S Attaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861020216 PECOS PAC ID: 8325469729 Enrollment ID: I20200610000749 |
| Provider Name | Shawn Hillhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225664097 PECOS PAC ID: 6406277813 Enrollment ID: I20200610001295 |
| Provider Name | Michelle Cheri Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013571876 PECOS PAC ID: 2466875083 Enrollment ID: I20200714003364 |
| Provider Name | Ayako Sugiyama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871128157 PECOS PAC ID: 8022433663 Enrollment ID: I20200730000572 |
| Provider Name | Stacey Youngblood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114531902 PECOS PAC ID: 5890105506 Enrollment ID: I20201109002958 |
| Provider Name | Samone Weatherly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942828678 PECOS PAC ID: 2264842616 Enrollment ID: I20201113001295 |
| Provider Name | Connie Sue Fiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326654724 PECOS PAC ID: 8527478692 Enrollment ID: I20201123001304 |
| Provider Name | Lay'c Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942856562 PECOS PAC ID: 3173934197 Enrollment ID: I20201124001149 |
| Provider Name | Kristen R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639765514 PECOS PAC ID: 3072925668 Enrollment ID: I20201228000231 |
| Provider Name | Shannon Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912507419 PECOS PAC ID: 7315350626 Enrollment ID: I20210106000311 |
| Provider Name | Breezye M Huddleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932707726 PECOS PAC ID: 2769890961 Enrollment ID: I20210427001968 |
| Provider Name | Shawn P Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992385645 PECOS PAC ID: 1052720612 Enrollment ID: I20210511002507 |
| Provider Name | Maria M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225419575 PECOS PAC ID: 9234538406 Enrollment ID: I20210520002885 |
| Provider Name | Sherry L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467069666 PECOS PAC ID: 6800292533 Enrollment ID: I20210907000061 |
| Provider Name | Katy A Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972105054 PECOS PAC ID: 6800202839 Enrollment ID: I20210924001000 |
| Provider Name | Lacy White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285263970 PECOS PAC ID: 2567860612 Enrollment ID: I20211005000594 |
| Provider Name | Belinda M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316120751 PECOS PAC ID: 7810388378 Enrollment ID: I20211217001035 |
| Provider Name | Jamie Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023785045 PECOS PAC ID: 4486045655 Enrollment ID: I20211222002095 |
| Provider Name | Ciara L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508537036 PECOS PAC ID: 4284025057 Enrollment ID: I20220105001743 |
| Provider Name | Elizabeth A Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164156444 PECOS PAC ID: 5597132530 Enrollment ID: I20221104001133 |
| Provider Name | Danielle Denise Friday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922729938 PECOS PAC ID: 1951776889 Enrollment ID: I20230406002625 |
| Provider Name | Ellen G Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730552944 PECOS PAC ID: 3476856220 Enrollment ID: I20230523000843 |
| Provider Name | Stephanie M Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578330254 PECOS PAC ID: 7012369994 Enrollment ID: I20240116003254 |
| Provider Name | Lori M Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548014277 PECOS PAC ID: 3375085434 Enrollment ID: I20240605001349 |
| Provider Name | Audrey J Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427714310 PECOS PAC ID: 4587195623 Enrollment ID: I20241001001119 |
Special Health Resources For Texas, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Texas Blvd Ste 320, 325, Texarkana, TX 75501 Phone: 903-792-5924 Fax: 903-792-8224 | |
Express Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5483 Summerhill Rd, Texarkana, TX 75503 Phone: 903-223-5931 Fax: 903-223-5930 | |
East Texas Border Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
East Texas Border Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
Trimuph Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4082 Summerhill Sq, Texarkana, TX 75503 Phone: 903-793-7994 Fax: 903-793-7996 | |
Hygeia At Delphi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 Lawson Cir, Texarkana, TX 75503 Phone: 903-556-9317 | |
Nathan J Wright Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-2991 Fax: 903-793-7996 |