Individual provider Active NPI

Joan Elizabeth Speer, PA-C

  • Physician Assistant
  • Georgetown, TX
National Provider Identifier
1043446735
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01621 Issued in TX
Practice address
501 S Austin Ave
Ste 1320
Georgetown, TX 78626-5610
Phone
(512) 635-1856
Fax
(512) 819-0646
NPI assigned
Jun 8, 2009
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01621 TX Primary

Addresses

Primary practice location

501 S Austin Ave
Ste 1320
Georgetown, TX 78626-5610

Mailing address

205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone (512) 868-1124

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041228000810 TX Practitioner - Physician Assistant 8325006034 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians
Hospital Internists of Texas LLCGroup PAC ID 6507133584, 46 clinicians

Practice addresses (Care Compare)

2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681

3600 Williams Dr
Georgetown, TX 78628-2420
Phone (512) 688-5113

3700 Adelphi LN
Austin, TX 78727-5308
Phone (512) 833-0114

5980 Kyle Pkwy
Kyle, TX 78640-2400
Phone (512) 262-7533

7000 N Mo Pac Expy
Suite 420
Austin, TX 78731-3055
Phone (512) 482-0045

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01621TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Medical Services of Texas LLC CurrentSince Jan 1, 2026 Accepting new patients
Harden Clinical Services LLC Past Accepting new patients
.Sunstar Geriatrics Healthcare PA Past Accepting new patients
Kalico Partners LLC PastSince Feb 6, 2017 Accepting new patients

Locations

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

Organizations & group practices 7

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1043446735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "512-868-1124",
            "fax_number": "512-868-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE",
            "address_2": "STE 1320",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265610",
            "telephone_number": "512-635-1856",
            "fax_number": "512-819-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.