AULT MCINNIS PLLC
NPI 1942587159
Family Medicine in Jacksonville, TX

Active since November 16, 2011CLIA 45D2090081 · Accreditation
2114 E RUSK ST, JACKSONVILLE, TX 75766(903) 284-6105(903) 284-6104 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, Feb 8, 2017 (2 updates tracked since 2017).

About Ault Mcinnis Pllc NPPES

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

AULT MCINNIS PLLC (NPI 1942587159), doing business as Family First Of Jacksonville, is a healthcare organization registered as a family medicine in Jacksonville, Texas and active in the NPI registry since November 2011. The organization holds an CLIA Accreditation certificate valid through November 10, 2027 and lists Kristin Lee Ault, Owner, as its authorized official.

NPPES Registry Identity

NPI1942587159
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAULT MCINNIS PLLC
Location Address2114 E RUSK STJacksonville, TX 75766-9052
Mailing Address2116 E Rusk StJacksonville, TX 75766-9052 · (903) 284-6105 · Fax (903) 284-6104
Fax(903) 284-6104
Organization SubpartNo
Authorized OfficialKristin Lee AultOwner · (903) 284-6105
Enumeration DateNovember 16, 2011
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1942587159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
2114 E RUSK ST, Jacksonville, TX 75766

Other Names 1

Doing Business AsFamily First Of Jacksonville

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ault Mcinnis Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Ault Mcinnis PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1699319384
2114 E RUSK ST
Jacksonville, TX 75766
(903) 284-6105
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558837823
2114 E RUSK ST
Jacksonville, TX 75766
(903) 339-3022
✔ PECOSSame address
Family Practice
NPI 1609078211
2116 E RUSK ST
Jacksonville, TX 75766
(903) 284-6105
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1225004906
2026 S JACKSON
Jacksonville, TX 75766
(903) 586-5678
✔ PECOS✔ Accepts Medicare2.5 mi
Family Practice
NPI 1801002837
203 NACOGDOCHES ST STE 280
Jacksonville, TX 75766
(903) 541-5390
✔ PECOS✔ Accepts Medicare2.6 mi
Sports Medicine
NPI 1609802859
3310 PATRIOT DR
Tyler, TX 75701
(039) 877-7200
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1033155270
1910 ROSELAND BLVD
Tyler, TX 75701
(903) 533-0644
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1316287915
1401 S UNIVERSITY DR
Nacogdoches, TX 75961
(936) 560-5413
✔ PECOS43 mi

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 Accreditation 45D2090081

Ault Mcinnis PLLC Dba Family First Of Jacksonville · Jacksonville, TX
Active · expires Nov 10, 2027
CLIA Number45D2090081
Laboratory TypePhysician Office
Certificate Effective DateNovember 11, 2025
Certificate Expiration DateNovember 10, 2027
Laboratory DirectorArlene A. O'neil
Laboratory Phone(903) 284-6105
Laboratory LocationAult Mcinnis PLLC Dba Family First Of Jacksonville2114 E Rusk Street, Jacksonville, TX 75766
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Ault Mcinnis PLLC's NPI number?

The NPI number for Ault Mcinnis PLLC is 1942587159. It was assigned to this organization in the NPPES registry on November 16, 2011. The provider is doing business as Family First Of Jacksonville.

Where is Ault Mcinnis PLLC located?

Ault Mcinnis PLLC is located at 2114 E Rusk St, Jacksonville, TX 75766. The listed phone number is (903) 284-6105.

What is Ault Mcinnis PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ault Mcinnis PLLC enrolled in Medicare?

Yes. Ault Mcinnis PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ault Mcinnis PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Ault Mcinnis PLLC. 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 Nurse Practitioner (4), Family Practice (3) and Sports Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ault Mcinnis PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2090081) is associated with this NPI, valid through November 10, 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 Ault Mcinnis PLLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.