NPI age
8 years
Enumerated 2018-02-10
● Active Type 2 · Organization
Subpart
Jacksonville Hospital Llc
Jacksonville Hospital Llc is 1 of 689 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petrovich
Evp
Last NPPES update
2023-10-01
Source: monthly bulk 2026-05
How this organization compares
Across 689 active clinic/center providers in Texas.
NPI age
8 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-02Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1325 N Dickinson Dr
Rusk, TX 757851051
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 370275697
Authorized official
Stephen C Petrovich
Evp
📞 6152963000
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Shana Brown, CNP Nurse Practitioner NPI 1669294039
- Misty Fergusson Nurse Practitioner NPI 1336507169
- Lisa Trawick, NP Nurse Practitioner NPI 1265904411
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Ahs East Texas Health System, Llc.
Provyx · Custom healthcare lists
Need all 689 Clinic/Center providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.