| 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 |
| Certification Date | 04/09/2026 |
| Medicare PECOS PAC ID | 8628322831 |
|---|---|
| Medicare Enrollment ID | O20181106002557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790262681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| 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 | 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 | Sunnie S Hooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386895191 PECOS PAC ID: 8224280904 Enrollment ID: I20121203000312 |
| 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 | Dawn M Strain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609220110 PECOS PAC ID: 1153610761 Enrollment ID: I20160523000039 |
| 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 | Meghan Leann Creath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649720806 PECOS PAC ID: 4789951765 Enrollment ID: I20170523000373 |
| Provider Name | Carmen Renee Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861979734 PECOS PAC ID: 7517206196 Enrollment ID: I20190226000673 |
| Provider Name | Jennifer Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215468897 PECOS PAC ID: 6103194758 Enrollment ID: I20191008001100 |
| Provider Name | Amanda J Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365358 PECOS PAC ID: 9032476338 Enrollment ID: I20191203000258 |
| Provider Name | Joshua S Attaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861020216 PECOS PAC ID: 8325469729 Enrollment ID: I20200610000749 |
| Provider Name | Kristen R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639765514 PECOS PAC ID: 3072925668 Enrollment ID: I20201228000231 |
| 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 | 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 |
| Provider Name | Tracie E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962357079 PECOS PAC ID: 4587607262 Enrollment ID: I20260417000014 |
| Provider Name | Olivia L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689522609 PECOS PAC ID: 5294201026 Enrollment ID: I20260418000115 |
Texarkana Care Clinic - Texas Blvd Primary Care Clinic Medicare: Medicare Enrolled 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 |
Genesis Primecare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 |
Genesisprimecare 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 |