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

Haley Marie Peace Pickett, PA

Individual provider Physician Assistant · NPI 1689453656

Haley Marie Peace Pickett, PA is a Physician Assistant in Longview, Texas. Qualified in 2023, 3 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
3
Licensed in
LA, TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

705 E Marshall Ave Ste 1002
Longview, TX 75601-5660
Phone: (903) 759-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1541 Kings Hwy, Shreveport, LA 71103-4228 — (318) 626-0000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 338744 (LA)
Physician Assistant Taxonomy 363A00000X · Licence PA17250 (TX)

Record details

NPI number1689453656
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Longview