Kelly Lock, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04685 Issued in TX

Practice address

6450 Folsom Dr
Beaumont, TX 77706-7269

Phone

(409) 835-0524

Fax

(409) 835-0632

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Doctors Express of the Beaumont Area PA

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment Care Compare group
• Allergy & ENT Associates, PLLC

  • Allergy & Immunology Physician
  • Lake Jackson, TX
  • NPI 1902820368
  Medicare reassignment
• Allergy & ENT Associates, PLLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1285210682
  NPD
• Austin Family Allergy & Asthma, PA

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1578625190
  NPD
• Southlake Doctors Express, PA PSC

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• Doctors Express of the Temple Area, PA

  • Urgent Care Clinic/Center
  • Temple, TX
  • NPI 1568696227
  NPD (past)
• Emergency Health Services Associates, P.a.

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1225088479
  NPD (past)
• Texas Em-I Medical Services, PA

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1548336332

  Physician Assistant

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003828575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HILLSIDE LN",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776579056",
            "telephone_number": "409-755-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 FOLSOM DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067269",
            "telephone_number": "409-835-0524",
            "fax_number": "409-835-0632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5030 Hwy 69 South",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "77705",
            "country_code": "US",
            "telephone_number": "409-726-2550 x3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCK",
        "first_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livewell Physical Therapy Limited Partnership
• Living Success, Inc
• LL Trans LLC
• Alexandra Lloyd, OTR
• Erwin Lo, MD
• Locke Living Services LLC
• Jacob Edward Locke, M.D.
• Kimberly Loftis, LPC
• Thomas Randolph Lombardo, MD
• Daylon Long, FNP

• Physician Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.