GREEN ACRES BAPTIST CHURCH
NPI 1437838612
Counselor - Professional in Tyler, TX

Active since July 14, 2023
5755 EAGLES NEST BLVD STE 4, TYLER, TX 75703(903) 533-1817 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2023, Jul 14, 2023 (2 updates tracked since 2023).

About Green Acres Baptist Church NPPES

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

GREEN ACRES BAPTIST CHURCH (NPI 1437838612) is a healthcare organization registered as a professional in Tyler, Texas and active in the NPI registry since July 2023. The organization lists Jaime Dawn Cornelius, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1437838612
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameGREEN ACRES BAPTIST CHURCH
Location Address5755 EAGLES NEST BLVD STE 4Tyler, TX 75703-6236
Mailing Address1607 Troup HwyTyler, TX 75701-5799 · (903) 533-1817
Organization SubpartNo
Authorized OfficialJaime Dawn CorneliusClinic Director · (903) 533-1817
Enumeration DateJuly 14, 2023
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
NPI 1437838612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
5755 EAGLES NEST BLVD STE 4, Tyler, TX 75703

Other Providers at the Same Location NPPES 2

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

Counselor
5755 EAGLES NEST BLVD STE 4
TYLER, TX 75703
Counselor (Professional)
5755 EAGLES NEST BLVD STE 4
TYLER, TX 75703

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 Green Acres Baptist Church's NPI number?

The NPI number for Green Acres Baptist Church is 1437838612. It was assigned to this organization in the NPPES registry on July 14, 2023.

Where is Green Acres Baptist Church located?

Green Acres Baptist Church is located at 5755 Eagles Nest Blvd Ste 4, Tyler, TX 75703. The listed phone number is (903) 533-1817.

What is Green Acres Baptist Church's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Green Acres Baptist Church was last updated on July 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.