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INTEGRATIVE HEALTH MATTERS
NPI 1245847672
Preventive Medicine - Public Health & General Preventive Medicine in Tyler, TX

Active since September 29, 2020CLIA 45D2174553 · Waiver
419 WSW LOOP 323 STE 400, TYLER, TX 75701(903) 595-8077(903) 363-1541 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2020, Sep 29, 2020 (2 updates tracked since 2020).

About Integrative Health Matters NPPES

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

INTEGRATIVE HEALTH MATTERS (NPI 1245847672) is a healthcare organization registered as a public health & general preventive medicine in Tyler, Texas and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Guy Otis Danielson, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1245847672
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameEAST TEXAS FUNCTIONAL MEDICINE CENTER, LLC
Location Address419 WSW LOOP 323 STE 400Tyler, TX 75701-7063
Mailing Address419 Wsw Loop 323 Ste 400Tyler, TX 75701-7063 · (903) 595-8077
Phone(903) 595-8077
Fax(903) 363-1541
Organization SubpartNo
Authorized OfficialGuy Otis DanielsonMd/owner · (903) 595-8077
Enumeration DateSeptember 29, 2020
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1245847672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedInternal MedicineTaxonomy 207R00000X
419 WSW LOOP 323 STE 400, Tyler, TX 75701
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Other Names 1

Doing Business AsIntegrative Health Matters

Other Identifiers 1

Other1801905674TX · Dr. Danielson's Npi Number

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)

Integrative Health Matters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Integrative Health Matters, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Adam Strawbridge
Nurse Practitioner
NPI 1346928843
419 W SOUTHWEST LOOP 323
Tyler, TX 75701
(903) 595-8077
✔ PECOS✔ Accepts Medicare0.4 mi
Bradley Fisher, FNP-C
Nurse Practitioner
NPI 1033703749
419 WSW LOOP 323 STE 400
Tyler, TX 75701
(903) 595-8077
✔ PECOS✔ Accepts Medicare0.5 mi
Guy Danielson, M.D.
Neurosurgery
NPI 1801905674
1814 ROSELAND BLVD SUITE 200
Tyler, TX 75701
(903) 595-8077
✔ PECOS1.9 mi
David Martin, M.D.,P.A.
Family Practice
NPI 1912013665
619 S FLEISHEL AVE STE 201
Tyler, TX 75701
(903) 606-5777
✔ PECOS✔ Accepts Medicare2.9 mi
Kevin May, M.D.
Internal Medicine
NPI 1245339183
6723 HIGHLANDS CT
Tyler, TX 75703
(903) 989-7129
✔ PECOS✔ Accepts Medicare4.8 mi
Cace Hurt, NP-C
Nurse Practitioner
NPI 1053720748
4001 WORTH ST
Dallas, TX 75246
(214) 828-1745
✔ PECOS92 mi
Jessica Morton
Nurse Practitioner
NPI 1760833776
230 E EVERGREEN ST
Sherman, TX 75090
(903) 957-0276
✔ PECOS120 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

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 45D2174553

Integrative Health Matters · Tyler, TX
Active · expires Nov 4, 2027
CLIA Number45D2174553
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorAdrienne J. Carmack
Laboratory Phone(903) 595-8077
Laboratory LocationIntegrative Health Matters419 Wsw Loop 323, Suite 400, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name Phone
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 East Texas Functional Medicine Center, LLC's NPI number?

The NPI number for East Texas Functional Medicine Center, LLC is 1245847672. It was assigned to this organization in the NPPES registry on September 29, 2020. The provider is doing business as Integrative Health Matters.

Where is East Texas Functional Medicine Center, LLC located?

East Texas Functional Medicine Center, LLC is located at 419 Wsw Loop 323 Ste 400, Tyler, TX 75701. The listed phone number is (903) 595-8077.

What is East Texas Functional Medicine Center, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is East Texas Functional Medicine Center, LLC enrolled in Medicare?

Yes. East Texas Functional Medicine Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Texas Functional Medicine Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to East Texas Functional Medicine Center, 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 Nurse Practitioner (4), Family Practice (1) and Internal Medicine (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Texas Functional Medicine Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2174553) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Texas Functional Medicine Center, LLC was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.