NPI age
19 years
Enumerated 2006-07-13
● Active Type 2 · Organization
Kelly L Wimberly MD PA
Kelly L Wimberly MD PA is 1 of 15966 family medicine organizations in Texas.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wimberly
Owner
Last NPPES update
2008-07-24
Source: monthly bulk 2026-05
How this organization compares
Across 15966 active family medicine providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
17101 Preston Rd, Suite 200
Dallas, TX 752481331
Mailing address
17101 Preston Rd, Suite 200
Dallas, TX 752481331
Authorized official
Kelly L Wimberly, MD
Owner
📞 9722394441
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Brandon Bonds, D.C. Chiropractor NPI 1881616860
- Leticia Garceau, LPC , CSAT CANDIDATE Counselor NPI 1508422577
- Keli Jones, M.D., P.A Obstetrics & Gynecology NPI 1093845349
- Jeannette Kilgard, PA-C Physician Assistant NPI 1992013239
- Megan Rosewell Counselor NPI 1376433235
- Kelly Wimberly, MD Family Medicine NPI 1053330803
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DH1426 | MEDICARE RR GROUP NUMBER |
| 01 (TX) | P00474586 | MEDICARE RR PIN |
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.