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PHOENIX HEALTH CENTER
NPI 1295157337
Family Medicine in Tyler, TX

Active since January 08, 2014CLIA 45D2074345 · Waiver
1114 W BOW ST, TYLER, TX 75702(903) 595-5595(903) 595-5985 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Health Center NPPES

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

PHOENIX HEALTH CENTER (NPI 1295157337) is a healthcare organization registered as a family medicine in Tyler, Texas and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Dorothy Louise Jackson, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1295157337
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHOENIX HEALTH CENTER, PLLC
Location Address1114 W BOW STTyler, TX 75702-5137
Mailing Address1114 W Bow StTyler, TX 75702-5137 · (903) 595-5595 · Fax (903) 595-5985
Phone(903) 595-5595
Fax(903) 595-5985
Organization SubpartNo
Authorized OfficialDorothy Louise JacksonSole Owner · (903) 595-5595
Enumeration DateJanuary 8, 2014
Last NPPES UpdateJune 24, 2014
✔ NPI 1295157337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · N1355
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1114 W BOW ST, Tyler, TX 75702
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Other Names 1

Doing Business AsPhoenix Health Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 of Waiver 45D2074345

Phoenix Health Center · Tyler, TX
Active · expires Mar 5, 2028
CLIA Number45D2074345
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorDorothy L. Jackson
Laboratory Phone(903) 595-5595
Laboratory LocationPhoenix Health Center1114 W Bow, Tyler, TX 75702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. DOROTHY LOUISE JACKSON MD
Family Medicine
1114 W BOW ST
TYLER, TX 75702
Smith County (903) 595-5595

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 Phoenix Health Center, PLLC's NPI number?

The NPI number for Phoenix Health Center, PLLC is 1295157337. It was assigned to this organization in the NPPES registry on January 8, 2014. The provider is doing business as Phoenix Health Center.

Where is Phoenix Health Center, PLLC located?

Phoenix Health Center, PLLC is located at 1114 W Bow St, Tyler, TX 75702. The listed phone number is (903) 595-5595.

What is Phoenix Health Center, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Phoenix Health Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2074345) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phoenix Health Center, PLLC 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 Phoenix Health Center, 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 Phoenix Health Center, PLLC was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.