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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760897482

Dr. Samuel Jarratt Wiley, MD is a Family Practice in Lubbock, Texas. Qualified in 2014, 12 years ago. Practices with Covenant Medical Group, a 227-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7601 Quaker Ave
Lubbock, TX 79424-3360
Phone: (806) 725-9444
Fax: (806) 725-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1276 Fulton Ave, Bronx, NY 10456 — (718) 901-8294

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R4921 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760897482
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESMarch 17, 2018
Mailing address2215 Nashville Ave, Lubbock, TX 79410-1105

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Covenant Medical Group — 227 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lubbock