P Praxis·MD
● Active Type 1 · Individual

DR. Jared B Petty, DO

Internal Medicine·Winnsboro, TX· NPI 1720280753 · Enumerated 2007 · 18 years on NPI
Petty is 1 of 7 internal medicine providers in Winnsboro and 1 of 12343 in Texas.
NPI age
18 years
Enumerated 2007-06-01
Primary specialty
Internal Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12343 active internal medicine providers in Texas.

NPI age
18 years
≈ at median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
209 E Broadway St
Winnsboro, TX 754942604
📞 9033423355
Mailing address
209 E Broadway St
Winnsboro, TX 754942604
📞 9033423355

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    TX license #M7519 taxonomy 207R00000X

Identifiers

TypeValueNotes
01 (TX) 7527715699005 TRICARE
01 (TX) 8V3853 BCBS
01 (TX) 75-2616977-042 TRICARE
05 (TX) 206328102
01 (TX) 8DB900 BCBS
01 (TX) TIN PLUS 083 TRICARE

Practice context

Part of a multi-provider practice. 22 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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