CHRISTUS ST MICHAEL ATLANTA WOUND CARE CENTER
NPI 1871916650
General Practice in Atlanta, TX

Q: What is Christus Health Ark-La-Tex's NPI number?

The NPI number for Christus Health Ark-La-Tex is 1871916650. It was assigned to this organization in the NPPES registry on January 29, 2014. The provider is doing business as Christus St Michael Atlanta Wound Care Center.

Q: What is Christus Health Ark-La-Tex's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since January 29, 2014CLIA 45D2111584 · Waiver

1007 S WILLIAM ST, ATLANTA, TX 75551(903) 614-4200(903) 614-4244 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, May 12, 2022 (2 updates tracked since 2022).

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About Christus St Michael Atlanta Wound Care Center NPPES

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

CHRISTUS ST MICHAEL ATLANTA WOUND CARE CENTER (NPI 1871916650) is a healthcare organization registered as a general practice in Atlanta, Texas and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Jason Matthew Adams, President, as its authorized official.

NPPES Registry Identity

NPI1871916650

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCHRISTUS HEALTH ARK-LA-TEX

Location Address1007 S WILLIAM STAtlanta, TX 75551-3245

Mailing AddressPo Box 3070Texarkana, TX 75504-3070 · (903) 614-2943 · Fax (903) 614-2754

Phone(903) 614-4200

Fax(903) 614-4244

Organization SubpartNo

Authorized OfficialJason Matthew AdamsPresident · (903) 614-1000

Enumeration DateJanuary 29, 2014

Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1871916650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1007 S WILLIAM ST, Atlanta, TX 75551

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Other Names 1

Doing Business AsChristus St Michael Atlanta Wound Care Center

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

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 45D2111584

Christus St Michael Outpatient Wound Care Clinic · Texarkana, TX

Active · expires Apr 10, 2028

CLIA Number45D2111584

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateApril 11, 2026

Certificate Expiration DateApril 10, 2028

Laboratory DirectorWilliam C. Tompkins

Laboratory Phone(903) 614-4200

Laboratory LocationChristus St Michael Outpatient Wound Care Clinic1801 Galleria Oaks Drive, Texarkana, TX 75503

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

MR. TERRY DEAN BOATMAN CRNA

Nurse Anesthetist, Certified Registered