P Praxis·MD
● Active Type 1 · Individual

DR. Jerry Lamont McKenzie, M.D.

Family Medicine·Mansfield, TX· NPI 1053679407 · Enumerated 2012 · 14 years on NPI
McKenzie is 1 of 1 family medicine providers in Mansfield and 1 of 237 in Texas.
NPI age
14 years
Enumerated 2012-04-23
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
TX, AR
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 237 active family medicine providers in Texas.

NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
2
In the 38% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
1720 E Broad St
Mansfield, TX 760633400
📞 8174535912
Mailing address
4400 Oak Park Ln
Fort Worth, TX 761099534
📞 8179857772

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
845 Desco Ln
Grand Prairie, TX 750511685
📞 8177617876fax 8176356362
Location 3
3920 W Wheatland Rd Ste 152
Dallas, TX 752373404
📞 2144670432

Specialties

  • Family Medicine Primary
    A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in...
    TX license #R4786 taxonomy 207QG0300X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    AR license #E-8969 taxonomy 207P00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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