NACOGDOCHES COUNTY HOSPITAL DISTRICT
NPI 1053711804
Obstetrics & Gynecology in Nacogdoches, TX
About Nacogdoches County Hospital District NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NACOGDOCHES COUNTY HOSPITAL DISTRICT (NPI 1053711804), doing business as Nacogdoches Memorial Professional Group, is a healthcare organization registered as an obstetrics & gynecology in Nacogdoches, Texas and active in the NPI registry since August 2014. The organization lists Johnica Lowery, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 13
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nacogdoches County Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Nacogdoches County Hospital District, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 22Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nacogdoches County Hospital District's NPI number?
The NPI number for Nacogdoches County Hospital District is 1053711804. It was assigned to this organization in the NPPES registry on August 29, 2014. The provider is doing business as Nacogdoches Memorial Professional Group.
Where is Nacogdoches County Hospital District located?
Nacogdoches County Hospital District is located at 1204 N Mound St, Nacogdoches, TX 75961. The listed phone number is (936) 568-8523.
What is Nacogdoches County Hospital District's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Nacogdoches County Hospital District enrolled in Medicare?
Yes. Nacogdoches County Hospital District is registered in the Medicare PECOS enrollment system.
When is Nacogdoches County Hospital District's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Nacogdoches County Hospital District?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 8 Medicare specialties reassign their Medicare billing to Nacogdoches County Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Certified Nurse Midwife (CNM) (4) and Family Practice (2). Of these, 1 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nacogdoches County Hospital District was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nacogdoches County Hospital District · NPI 1053711804
Obstetrics & Gynecology organization in Nacogdoches, Texas. Organization record, active in the CMS NPPES registry since August 29, 2014.
## Identity
- **NPI:** 1053711804 (Entity type: Organization)
- **Enumerated:** August 29, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Also known as:** Nacogdoches Memorial Professional Group (Doing Business As)
- **Organization subpart:** Yes (part of Nacogdoches County Hospital District)
- **Authorized official:** Johnica Lowery, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 1204 N MOUND ST, Nacogdoches, TX 75961
- **Phone:** (936) 568-8523 · **Fax:** (936) 568-8588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 22 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Certified Nurse Midwife (CNM) (4), Family Practice (2); 1 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1053711804/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053711804) · Data from the CMS NPPES public registry.