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WINNSBORO INTERNAL MEDICINE
NPI 1154717536
Internal Medicine in Winnsboro, TX

Active since April 12, 2015CLIA Certified · 2 labs
209 E BROADWAY ST, WINNSBORO, TX 75494(903) 342-3355(903) 342-3350 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Winnsboro Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINNSBORO INTERNAL MEDICINE (NPI 1154717536) is a healthcare organization registered as an internal medicine in Winnsboro, Texas and active in the NPI registry since April 2015. The organization holds 2 active CLIA laboratory certificates and lists Jared Bradford Petty, Physician, Authorized Member, as its authorized official.

NPPES Registry Identity

NPI1154717536
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWINNSBORO HEALTH SERVICES PLLC
Location Address209 E BROADWAY STWinnsboro, TX 75494-2604
Mailing Address209 E Broadway StWinnsboro, TX 75494-2604 · (903) 342-3355 · Fax (903) 342-3350
Phone(903) 342-3355
Fax(903) 342-3350
Organization SubpartNo
Authorized OfficialJared Bradford PettyPhysician, Authorized Member · (903) 342-3355
Enumeration DateApril 12, 2015
Last NPPES UpdateJune 26, 2015
✔ NPI 1154717536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M7519
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
209 E BROADWAY ST, Winnsboro, TX 75494
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Other Names 1

Doing Business AsWinnsboro Internal Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2097909

Winnsboro Health Services, PLLC · Winnsboro, TX
Active · expires Jun 24, 2027
CLIA Number45D2097909
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorJared Petty
Laboratory Phone(903) 342-3355
Laboratory LocationWinnsboro Health Services, PLLC209 E Broadway, Winnsboro, TX 75494
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2233678

Winnsboro Health Services, PLLC · Winnsboro, TX
Active · expires Aug 24, 2027
CLIA Number45D2233678
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorJared B. Petty
Laboratory Phone(903) 342-3355
Laboratory LocationWinnsboro Health Services, PLLC901 S Beech St, Winnsboro, TX 75494
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA COUCH NP
Nurse Practitioner (Gerontology)
209 E BROADWAY ST
WINNSBORO, TX 75494
Wood County (903) 342-3355
DR. HALLIE NEWSOM PT, DPT
Physical Therapist
209 E BROADWAY ST
WINNSBORO, TX 75494
Wood County (903) 342-6300
MRS. BRYANNA MARIE WHITEHURST APRN, FNP-C
Nurse Practitioner (Family)
209 E BROADWAY ST
WINNSBORO, TX 75494
Wood County (903) 342-3355
DR. JOSE RICARDO MARTINEZ MD
Internal Medicine
209 E BROADWAY ST
WINNSBORO, TX 75494
Wood County (903) 342-3355
MRS. DONNA MARIE REGINO FNP-BC
Nurse Practitioner (Family)
209 E BROADWAY ST
WINNSBORO, TX 75494
Wood County (903) 342-3355
BETH KENNAMER PTA
Physical Therapy Assistant
209 E BROADWAY ST
WINNSBORO, TX 75494
Wood County (903) 342-6790
LYNN P ROBERTS OT
Occupational Therapist
209 E BROADWAY ST
WINNSBORO, TX 75494
Wood County (903) 342-6790
JEREMY BULLOCK PT
Physical Therapist
209 E BROADWAY ST
WINNSBORO, TX 75494
Wood County (903) 342-6790

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 Winnsboro Health Services PLLC's NPI number?

The NPI number for Winnsboro Health Services PLLC is 1154717536. It was assigned to this organization in the NPPES registry on April 12, 2015. The provider is doing business as Winnsboro Internal Medicine.

Where is Winnsboro Health Services PLLC located?

Winnsboro Health Services PLLC is located at 209 E Broadway St, Winnsboro, TX 75494. The listed phone number is (903) 342-3355.

What is Winnsboro Health Services PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Winnsboro Health Services PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Winnsboro Health Services PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Winnsboro Health Services PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Winnsboro Health Services PLLC was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.