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QUITMAN HOSPITAL LLC
NPI 1205336609
Internal Medicine in Quitman, TX

Active since February 13, 2018CLIA Certified · 2 labs
117 N WINNSBORO ST, QUITMAN, TX 75783(903) 763-6220(903) 763-6221 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Quitman Hospital Llc NPPES

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

QUITMAN HOSPITAL LLC (NPI 1205336609) is a healthcare organization registered as an internal medicine in Quitman, Texas and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates and lists Stephen C. Petrovich, Evp, as its authorized official.

NPPES Registry Identity

NPI1205336609
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameQUITMAN HOSPITAL LLC
Location Address117 N WINNSBORO STQuitman, TX 75783-2144
Mailing Address1 Burton Hills Blvd Ste 250Nashville, TN 37215-6195 · (615) 296-3000 · Fax (615) 296-6227
Phone(903) 763-6220
Fax(903) 763-6221
Organization SubpartNo
Authorized OfficialStephen C. PetrovichEvp · (615) 296-3000
Enumeration DateFebruary 13, 2018
✔ NPI 1205336609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
117 N WINNSBORO ST, Quitman, TX 75783
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quitman Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Quitman Hospital LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)10
Family Practice4
Internal Medicine3

Clinicians, nearest first (17)

Beverly Waddleton, DO
Family Practice
NPI 1629004684
108 PARKER ST STE.300
Quitman, TX 75783
(903) 763-6220
✔ PECOS0.1 mi
Craig Mcmullen, M.D.
Family Practice
NPI 1487614616
1220 N PACIFIC ST
Mineola, TX 75773
(903) 569-6124
✔ PECOS✔ Accepts Medicare8.6 mi
Jose Martinez, MD
Internal Medicine
NPI 1154358638
209 E BROADWAY ST
Winnsboro, TX 75494
(903) 342-3355
✔ PECOS14 mi
Jared Petty, DO
Internal Medicine
NPI 1720280753
209 E BROADWAY ST
Winnsboro, TX 75494
(903) 342-3355
✔ PECOS✔ Accepts Medicare14 mi
Kevin Caton, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043218548
115 AIRPORT RD
Sulphur Springs, TX 75482
(903) 885-9758
✔ Accepts Medicare26 mi
Bradley Harville, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457323586
800 E DAWSON ST
Tyler, TX 75701
(903) 606-4522
✔ Accepts Medicare33 mi
Joe Valdez, M.D.
Family Practice
NPI 1104810779
800 E DAWSON ST
Tyler, TX 75701
(903) 531-5788
✔ PECOS33 mi
Ilanko Upendran, MD
Internal Medicine
NPI 1124051073
1000 S BECKHAM AVE
Tyler, TX 75701
(903) 597-0351
✔ PECOS✔ Accepts Medicare33 mi
Caleb Mitchell
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194281626
2001 N JEFFERSON AVE
Mount Pleasant, TX 75455
(903) 577-6000
✔ Accepts Medicare38 mi
Gregory Oneill, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174511141
2900 S LOOP 256
Palestine, TX 75801
(903) 723-2465
✔ Accepts Medicare74 mi
Agata Galyon, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760524821
6606 LYNDON B JOHNSON FWY STE 200
Dallas, TX 75240
(972) 233-1999
✔ Accepts Medicare79 mi
Jennie Potts, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003110560
13601 PRESTON RD 1000W
Dallas, TX 75240
(972) 715-5000
✔ Accepts Medicare80 mi
Tangy Kincaid Thomas, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609013929
1411 N BECKLEY AVE
Dallas, TX 75203
(214) 948-7700
✔ Accepts Medicare80 mi
David Galyon, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619209384
4100 SUMMERHILL RD
Texarkana, TX 75503
(903) 735-9802
✔ Accepts Medicare92 mi
Daniel Snow, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235137019
4100 SUMMERHILL RD
Texarkana, TX 75503
(903) 735-9802
✔ Accepts Medicare92 mi
Christopher Killgore, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235143645
3810 CENTRAL AVE SUITE H
Hot Springs, AR 71913
(501) 525-5840
✔ Accepts Medicare179 mi
Amy Cosgrove, M.D.
Family Practice
NPI 1275844425
7306 SW 34TH AVE STE 4
Amarillo, TX 79121
(806) 350-8850
✔ PECOS✔ Accepts Medicare406 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Accreditation 45D0483678

Quitman Hospital, LLC · Quitman, TX
Active · expires Jul 2, 2028
CLIA Number45D0483678
Laboratory TypeHospital
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorLorenz Schmiege III
Laboratory Phone(903) 763-6310
Laboratory LocationQuitman Hospital, LLC117 North Winnsboro St, Quitman, TX 75783
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D1017212

Quitman Hospital, LLC · Quitman, TX
Active · expires Feb 29, 2028
CLIA Number45D1017212
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorChristian Ferrer
Laboratory Phone(903) 763-6310
Laboratory LocationQuitman Hospital, LLC117 North Winnsboro Street Attn Lab Kenni Monk, Quitman, TX 75783
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Quitman Hospital LLC's NPI number?

The NPI number for Quitman Hospital LLC is 1205336609. It was assigned to this organization in the NPPES registry on February 13, 2018.

Where is Quitman Hospital LLC located?

Quitman Hospital LLC is located at 117 N Winnsboro St, Quitman, TX 75783. The listed phone number is (903) 763-6220.

What is Quitman Hospital LLC's specialty?

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

Is Quitman Hospital LLC enrolled in Medicare?

Yes. Quitman Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Quitman Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Quitman Hospital LLC. 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 Certified Registered Nurse Anesthetist (CRNA) (10), Family Practice (4) and Internal Medicine (3). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Quitman Hospital LLC 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.

When was this NPI record last updated?

The NPPES record for Quitman Hospital LLC was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.