NACOGDOCHES OBSTETRICS AND GYNECOLOGY PLLC
NPI 1720858566
Obstetrics & Gynecology in Nacogdoches, TX

Active since January 03, 2024CLIA 45D0690887 · Waiver
4800 NE STALLINGS DR STE 106, NACOGDOCHES, TX 75965(936) 569-0000(833) 645-2183 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nacogdoches Obstetrics And Gynecology Pllc NPPES

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

NACOGDOCHES OBSTETRICS AND GYNECOLOGY PLLC (NPI 1720858566) is a healthcare organization registered as an obstetrics & gynecology in Nacogdoches, Texas and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Benjamin P Thompson, Physician Partner, as its authorized official.

NPPES Registry Identity

NPI1720858566
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNACOGDOCHES OBSTETRICS AND GYNECOLOGY PLLC
Location Address4800 NE STALLINGS DR STE 106Nacogdoches, TX 75965-1251
Mailing Address4800 Ne Stallings Dr Ste 106Nacogdoches, TX 75965-1251 · (936) 569-0000 · Fax (833) 645-2183
Fax(833) 645-2183
Organization SubpartNo
Authorized OfficialBenjamin P ThompsonPhysician Partner · (936) 569-0000
Enumeration DateJanuary 3, 2024
NPPES CertifiedJanuary 3, 2024
NPI 1720858566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4800 NE STALLINGS DR STE 106, Nacogdoches, TX 75965

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

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 45D0690887

Nacogdoches Obstetrics And Gynecology · Nacogdoches, TX
Active · expires Aug 31, 2026
CLIA Number45D0690887
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCharles A. Thompson MD
Laboratory Phone(936) 569-0000
Laboratory LocationNacogdoches Obstetrics And Gynecology4800 NE Stallings Dr Suite 106, Nacogdoches, TX 75965
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 2

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

Obstetrics & Gynecology
4800 NE STALLINGS DR STE 106
NACOGDOCHES, TX 75965
Obstetrics & Gynecology (Obstetrics)
4800 NE STALLINGS DR STE 106
NACOGDOCHES, TX 75965

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 Nacogdoches Obstetrics And Gynecology PLLC's NPI number?

The NPI number for Nacogdoches Obstetrics And Gynecology PLLC is 1720858566. It was assigned to this organization in the NPPES registry on January 3, 2024.

Where is Nacogdoches Obstetrics And Gynecology PLLC located?

Nacogdoches Obstetrics And Gynecology PLLC is located at 4800 NE Stallings Dr Ste 106, Nacogdoches, TX 75965. The listed phone number is (936) 569-0000.

What is Nacogdoches Obstetrics And Gynecology PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Nacogdoches Obstetrics And Gynecology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0690887) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nacogdoches Obstetrics And Gynecology PLLC was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.