CORYELL HEALTH MEDICAL CLINIC
NPI 1528195062
Emergency Medicine in Gatesville, TX

Active since February 28, 2007CLIA 45D1030651 · Waiver
1507 WEST MAIN STREET, GATESVILLE, TX 76528(254) 865-8251(254) 248-6303 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2023, Apr 4, 2019 (2 updates tracked since 2019).

About Coryell Health Medical Clinic NPPES

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

CORYELL HEALTH MEDICAL CLINIC (NPI 1528195062) is a healthcare organization registered as an emergency medicine in Gatesville, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Kara Cox, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1528195062
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Location Address1507 WEST MAIN STREETGatesville, TX 76528-1024
Mailing Address1507 West Main StreetGatesville, TX 76528-1024 · (254) 865-8251 · Fax (254) 248-6303
Fax(254) 248-6303
Organization SubpartNo
Authorized OfficialKara CoxBusiness Office Director · (254) 248-3213
Enumeration DateFebruary 28, 2007
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1528195062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1507 WEST MAIN STREET, Gatesville, TX 76528

Other Names 2

Doing Business AsCoryell Health Medical Clinic
Doing Business AsCoryell Health

Other Identifiers 2

Other00BW86TX · Medicare Ptan
Medicaid1347726-09TX

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)

Coryell Health Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

77

Medicare enrollment records show 77 clinicians reassign Medicare billing to Coryell Health Medical Clinic, which bills Medicare for the services they deliver. Of these, 32 practice at this address and 37 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Family Practice23
Nurse Practitioner17
Emergency Medicine6
Anesthesiology3
Cardiovascular Disease (Cardiology)3
General Surgery3
Podiatry3
Nephrology2
14 other specialties17

Nearest to this location (20)

See all 77
Podiatry
NPI 1629573852
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOSSame address
Nurse Practitioner
NPI 1558075192
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1134215643
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-8251
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1477513190
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1013111236
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-8251
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1073927109
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
Same address
Nephrology
NPI 1598727844
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1366730301
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1033143474
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1841553153
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1063472892
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-8251
✔ PECOSSame address
Nurse Practitioner
NPI 1912485293
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1508826074
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1790724839
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1477972461
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOSSame address
Pain Management
NPI 1013910272
1507 W MAIN ST
Gatesville, TX 76528
(254) 248-2166
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1043271992
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOSSame address
Urology
NPI 1013020486
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1699039800
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-2166
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1467643650
1507 W MAIN ST
Gatesville, TX 76528
(254) 865-8251
✔ PECOS✔ Accepts MedicareSame address
See all 77 clinicians

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 45D1030651

Coryell Medical Clinic · Gatesville, TX
Active · expires Mar 6, 2027
CLIA Number45D1030651
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorLori Wolff
Laboratory Phone(254) 248-6271
Laboratory LocationCoryell Medical Clinic1507 West Main St, Gatesville, TX 76528
CLIA data matches this NPI record on: Address
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 Coryell County Memorial Hospital Authority's NPI number?

The NPI number for Coryell County Memorial Hospital Authority is 1528195062. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Coryell Health Medical Clinic and Coryell Health.

Where is Coryell County Memorial Hospital Authority located?

Coryell County Memorial Hospital Authority is located at 1507 West Main Street, Gatesville, TX 76528. The listed phone number is (254) 865-8251.

What is Coryell County Memorial Hospital Authority's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Coryell County Memorial Hospital Authority enrolled in Medicare?

Yes. Coryell County Memorial Hospital Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coryell County Memorial Hospital Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 77 clinicians in 22 Medicare specialties reassign their Medicare billing to Coryell County Memorial Hospital Authority. 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 Family Practice (23), Nurse Practitioner (17) and Emergency Medicine (6). Of these, 32 practice at this address and 37 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coryell County Memorial Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1030651) is associated with this NPI, valid through March 6, 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 Coryell County Memorial Hospital Authority was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.