Palestine Pediatrics – Family Medicine Physician, NPI 1558521179

Palestine Pediatrics is a healthcare provider. based in Palestine, Texas. specializing in Family Medicine Physician. The organization holds a License No. G5232 (TX). The NPI Number for Palestine Pediatrics is 1558521179

Main info

Organization
Name
Palestine Pediatrics
NPI
1558521179
Phone
(037) 315-4429
Address
4002 S LOOP 256 STE A
Authorized Official
JOHNETTA TRAYLOR ADMINISTRATOR
Enumeration Date
17 June 2008
Last Update Date
6 August 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness90
Years active:17State licenses:1Digital endpoints

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Provider Addresses for Palestine Pediatrics

  • 4002 S LOOP 256 STE A

    PALESTINE, TX 758018492

    Phone: (037) 315-4429

    Fax: (903) 723-3325

    Type: Mailing

  • 514, South Bonham Street, Springfield, Mexia, Limestone County, Texas, 76667, United States

    STE. D

    MEXIA, TX 766673600

    Phone: (254) 562-5961

    Fax: (254) 562-2813

    Type: Mailing

  • 128 W Mall Dr

    Corsicana, TX 751103164

    Phone: (903) 257-3076

    Fax: (430) 236-1006

    Type: Location

  • 514 S Bonham St

    Ste. D

    Mexia, TX 766673600

    Phone: (254) 562-5961

    Fax: (254) 562-2813

    Type: Location

  • 4002 S LOOP 256

    PALESTINE, TX 758018491

    Phone: (903) 731-5030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-02-16

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75801)

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Reviews

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Frequently asked questions

How is Palestine Pediatrics identified in CMS data?
CMS-hosted NPPES data lists Palestine Pediatrics with NPI 1558521179.
Does the file indicate Palestine Pediatrics is practicing under active NPI?
Directory data currently reports Palestine Pediatrics as active.
What is Palestine Pediatrics's primary classification?
Family Medicine Physician is the headline specialty for Palestine Pediatrics here. Clinical services aligned with this taxonomy classification.
Does Palestine Pediatrics list a practice location?
Patients near Palestine, Texas may find Palestine Pediatrics in results; validate coverage separately.
Is the information about Palestine Pediatrics up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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