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ENNIS PHYSICAL MEDICINE, PLLC
NPI 1316439201
General Practice in Ennis, TX

Active since June 05, 2018
109 NW MAIN ST STE B, ENNIS, TX 75119(972) 293-9355(915) 206-5076 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ennis Physical Medicine, Pllc NPPES

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

ENNIS PHYSICAL MEDICINE, PLLC (NPI 1316439201) is a healthcare organization registered as a general practice in Ennis, Texas and active in the NPI registry since June 2018. The organization lists William Cameron Davis, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1316439201
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameENNIS PHYSICAL MEDICINE, PLLC
Location Address109 NW MAIN ST STE BEnnis, TX 75119-4079
Mailing Address109 Nw Main St Ste BEnnis, TX 75119-4079 · (972) 293-9355
Phone(972) 293-9355
Fax(915) 206-5076
Organization SubpartNo
Authorized OfficialWilliam Cameron DavisClinic Director · (972) 293-9355
Enumeration DateJune 5, 2018
✔ NPI 1316439201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · K5597
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
109 NW MAIN ST STE B, Ennis, TX 75119
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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 MULTIPLE SINGLE 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)

Ennis Physical Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ennis Physical Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Deanna Davis, APRN, FNP-BC
Nurse Practitioner
NPI 1982369716
109 NW MAIN ST
Ennis, TX 75119
(972) 875-9377
✔ PECOS✔ Accepts Medicare5.6 mi
William Davis, CHIROPRACTOR
Chiropractic
NPI 1326045782
109 NW MAIN ST
Ennis, TX 75119
(972) 875-9377
✔ Accepts Medicare5.6 mi
Hector Condarco
Nurse Practitioner
NPI 1194242594
2400 NORTH I35 EAST SERVICE ROAD
Waxahachie, TX 75165
(469) 843-5000
✔ PECOS✔ Accepts Medicare15 mi

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

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 Ennis Physical Medicine, PLLC's NPI number?

The NPI number for Ennis Physical Medicine, PLLC is 1316439201. It was assigned to this organization in the NPPES registry on June 5, 2018.

Where is Ennis Physical Medicine, PLLC located?

Ennis Physical Medicine, PLLC is located at 109 NW Main St Ste B, Ennis, TX 75119. The listed phone number is (972) 293-9355.

What is Ennis Physical Medicine, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ennis Physical Medicine, PLLC enrolled in Medicare?

Yes. Ennis Physical Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ennis Physical Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ennis Physical Medicine, PLLC, in Chiropractic and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ennis Physical Medicine, PLLC was last updated on June 5, 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.