Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack R Childress, MD

Individual provider Internal Medicine Physician · NPI 1841245883

Jack R Childress, MD practises Internal Medicine in Lake Kiowa, Texas. Graduated from University of Texas Medical Branch at Galveston in 1983, 43 years ago. Practices with Rural Physicians Group-Pannu PLLC, a 135-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia, Louisiana, Texas and Wyoming.

Years since qualifying
43
Trained at
University of Texas Medical Branch at Galveston
Licensed in
GA, LA, TX, WY
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

105 Sequoya Dr
Lake Kiowa, TX 76240-9446
Phone: (940) 736-8885
Fax: (940) 668-8292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5995 Spring St, Warm Springs, GA 31830-2149 — (706) 655-3331
  • 1900 Main St, Franklinton, LA 70438-3688 — (985) 839-4431
  • 400 S 15th St, Worland, WY 82401-3531 — (307) 347-3321

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence H5535 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 346502 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 14502A (WY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 97208 (GA)
Hospitalist Physician Taxonomy 208M00000X · Licence H5535 (TX)

Record details

NPI number1841245883
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1983 (43 years in practice)
Group practice Rural Physicians Group-Pannu Pllc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients34
Services billed 97 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Also affiliated with 1 nursing home, which CMS identifies by certification number only.

Colleagues at Rural Physicians Group-Pannu PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 135 clinicians in the practice; 12 are shown here.