OrganizationActive
St. Alyssa Medical Center
NPI 1710425541 · Family Medicine Physician · Nacogdoches, TX
Provider details
- NPI number
- 1710425541
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Bishop, Clinic Director(936) 645-1586
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2805 North St Ste E
Nacogdoches, TX 75965-2800
Phone: (936) 205-3171
Fax: (936) 205-3174
Street-level locationGet directions
Mailing address
Po Box 635312
Nacogdoches, TX 75963
Registry dates
- Enumerated
- 2017-01-31
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.