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NACOGDOCHES MEDICAL CLINIC PLLC
NPI 1841248630
Internal Medicine in Nacogdoches, TX

Active since May 04, 2006
607 RUSSELL BLVD, A, NACOGDOCHES, TX 75965(936) 560-2920(866) 861-6312 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2020, Dec 16, 2019, Apr 19, 2017 (3 updates tracked since 2017).

About Nacogdoches Medical Clinic Pllc NPPES

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

NACOGDOCHES MEDICAL CLINIC PLLC (NPI 1841248630) is a healthcare organization registered as an internal medicine in Nacogdoches, Texas and active in the NPI registry since May 2006. The organization lists Kavita S Vyas, Owner, as its authorized official.

NPPES Registry Identity

NPI1841248630
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNACOGDOCHES MEDICAL CLINIC PLLC
Location Address607 RUSSELL BLVD, ANacogdoches, TX 75965-1247
Mailing Address607 Russell Blvd, ANacogdoches, TX 75965-1247 · (936) 560-2920 · Fax (866) 861-6312
Phone(936) 560-2920
Fax(866) 861-6312
Organization SubpartNo
Authorized OfficialKavita S VyasOwner · (936) 560-2920
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 29, 20203 updates tracked since enumeration
✔ NPI 1841248630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
607 RUSSELL BLVD, Nacogdoches, TX 75965
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Other Identifiers 1

Medicaid079792001TX

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nacogdoches Medical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brinson Stewart, FNP-C
Nurse Practitioner
NPI 1922410828
607 RUSSELL BLVD STE A
Nacogdoches, TX 75965
(936) 560-2920
✔ PECOSSame address
Kavita Vyas, M.D.
Internal Medicine
NPI 1346246964
607 RUSSELL BLVD A
Nacogdoches, TX 75965
(936) 560-2920
✔ PECOS✔ Accepts MedicareSame address

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 Nacogdoches Medical Clinic PLLC's NPI number?

The NPI number for Nacogdoches Medical Clinic PLLC is 1841248630. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Nacogdoches Medical Clinic PLLC located?

Nacogdoches Medical Clinic PLLC is located at 607 Russell Blvd A, Nacogdoches, TX 75965. The listed phone number is (936) 560-2920.

What is Nacogdoches Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nacogdoches Medical Clinic PLLC enrolled in Medicare?

Yes. Nacogdoches Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nacogdoches Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nacogdoches Medical Clinic PLLC, in Internal Medicine 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nacogdoches Medical Clinic PLLC was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.