1. Home
  2. Directory
  3. Texas
  4. Kerrville
  5. Obstetrics Gynecology
  6. NPI Profile

GENESIS GYNECOLOGY PA
NPI 1174792733
Obstetrics & Gynecology - Gynecology in Kerrville, TX

Active since February 27, 2008CLIA 45D1081385 · Microscopy
176 FAIRWAY DR, KERRVILLE, TX 78028(830) 792-0805(830) 792-0833 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Gynecology Pa NPPES

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

GENESIS GYNECOLOGY PA (NPI 1174792733) is a healthcare organization registered as a gynecology in Kerrville, Texas and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through March 16, 2028 and lists Kerri Lee Truelock, President, as its authorized official.

NPPES Registry Identity

NPI1174792733
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameGENESIS GYNECOLOGY PA
Location Address176 FAIRWAY DRKerrville, TX 78028-6437
Mailing Address176 Fairway DrKerrville, TX 78028-6437 · (830) 792-0805 · Fax (830) 792-0833
Phone(830) 792-0805
Fax(830) 792-0833
Organization SubpartNo
Authorized OfficialKerri Lee TruelockPresident · (830) 792-0805
Enumeration DateFebruary 27, 2008
Last NPPES UpdateMarch 13, 2013
✔ NPI 1174792733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
176 FAIRWAY DR, Kerrville, TX 78028
Open in Google Maps ↗

Other Identifiers 4

Medicaid193308701TX
Medicare NSC6157650001TX
Other0083RBTX · Bcbs Of Texas Group #
Medicare PIN00Z105TX

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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 45D1081385

Genesis Gynecology PA · Kerrville, TX
Active · expires Mar 16, 2028
CLIA Number45D1081385
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorKerri L. Truelock MD
Laboratory Phone(830) 792-0805
Laboratory LocationGenesis Gynecology PA176 Fairway Attn Becky, Kerrville, TX 78028
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

KELLY C PELTON MD
Internal Medicine
176 FAIRWAY DR
KERRVILLE, TX 78028
Kerr County (830) 792-0805
ODEMARIS SANTIAGO-YOUNG MD
Internal Medicine (Rheumatology)
176 FAIRWAY DR
KERRVILLE, TX 78028
Kerr County (830) 896-6100
KERRI LEE TRUELOCK MD
Obstetrics & Gynecology (Gynecology)
176 FAIRWAY DR
KERRVILLE, TX 78028
Kerr County (830) 792-0805
TAMI H GIVEN MD
Obstetrics & Gynecology (Gynecology)
176 FAIRWAY DR
KERRVILLE, TX 78028
Kerr County (830) 792-0805

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 Genesis Gynecology PA's NPI number?

The NPI number for Genesis Gynecology PA is 1174792733. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Genesis Gynecology PA located?

Genesis Gynecology PA is located at 176 Fairway Dr, Kerrville, TX 78028. The listed phone number is (830) 792-0805.

What is Genesis Gynecology PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Genesis Gynecology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1081385) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Genesis Gynecology PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Genesis Gynecology PA 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 Genesis Gynecology PA was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.