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ETMC PHYSICIAN GROUP INC.
NPI 1689241945
Clinic/Center - Rural Health in Gun Barrel City, TX

Active since June 07, 2021CLIA 45D1060503 · Microscopy
100 MUNICIPAL DR STE 300, GUN BARREL CITY, TX 75156(903) 713-1574 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Etmc Physician Group Inc. NPPES

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

ETMC PHYSICIAN GROUP INC. (NPI 1689241945) is a healthcare organization registered as a rural health in Gun Barrel City, Texas and active in the NPI registry since June 2021. The organization holds a CLIA Microscopy certificate valid through December 21, 2027 and lists Stephen C. Petrovich, Evp, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1689241945
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameETMC PHYSICIAN GROUP INC.
Location Address100 MUNICIPAL DR STE 300Gun Barrel City, TX 75156-3703
Mailing Address1 Burton Hills Blvd Ste 250Nashville, TN 37215-6195 · (615) 296-3594
Phone(903) 713-1574
Organization SubpartNo
Authorized OfficialStephen C. PetrovichEvp, General Counsel · (615) 296-3594
Enumeration DateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1689241945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
100 MUNICIPAL DR STE 300, Gun Barrel City, TX 75156
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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 for Provider-Performed Microscopy Procedures (PPMP) 45D1060503

Etmc Physician Group, Inc · Gun Barrel City, TX
Active · expires Dec 21, 2027
CLIA Number45D1060503
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorWilliam R. Giles
Laboratory Phone(903) 713-1574
Laboratory LocationEtmc Physician Group, Inc100 Municipal Dr Ste 300, Gun Barrel City, TX 75156
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

SAVANNAH CHRISTIAN ATKINS FNP
Nurse Practitioner
100 MUNICIPAL DR STE 300
GUN BARREL CITY, TX 75156
Henderson County (903) 713-1574
SHANNON MIDDLETON APRN
Nurse Practitioner (Family)
100 MUNICIPAL DR STE 300
GUN BARREL CITY, TX 75156
Henderson County (903) 713-1574
MICHAEL SHANE SMITH APRN NP-C
Nurse Practitioner (Family)
100 MUNICIPAL DR STE 300
GUN BARREL CITY, TX 75156
Henderson County (903) 713-1574

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 Etmc Physician Group Inc.'s NPI number?

The NPI number for Etmc Physician Group Inc. is 1689241945. It was assigned to this organization in the NPPES registry on June 7, 2021.

Where is Etmc Physician Group Inc. located?

Etmc Physician Group Inc. is located at 100 Municipal Dr Ste 300, Gun Barrel City, TX 75156. The listed phone number is (903) 713-1574.

What is Etmc Physician Group Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Etmc Physician Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1060503) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Etmc Physician Group Inc. 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 and 2 other insurers list Etmc Physician Group Inc. 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 Etmc Physician Group Inc. was last updated on June 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.