Active NPI
Front Line Peak Performance
- Adult Medicine Physician
- Georgetown, TX
National Provider Identifier
1053241257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- FRONT LINE PEAK PERFORMANCE
- Practice address
- 4749 Williams Dr Ste 304
Georgetown, TX 78633-3700 - Phone
- (512) 838-3808
- NPI assigned
- May 20, 2026
- Last updated
- May 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reef Gibbins
- Title
- Credentialing Officer
- Phone
- (512) 617-6074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
4749 Williams Dr Ste 304
Georgetown, TX 78633-3700
Mailing address
PO Box 1268
Granbury, TX 76048-0135
Phone (512) 481-4140
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Georgetown, TX
- NPI 1841767613
-
- Medical Physician Assistant
- Marietta, GA
- NPI 1720956824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1053241257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1268",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760480135",
"telephone_number": "512-481-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4749 WILLIAMS DR STE 304",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786333700",
"telephone_number": "512-838-3808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONT LINE PEAK PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "GIBBINS",
"authorized_official_first_name": "REEF",
"authorized_official_title_or_position": "CREDENTIALING OFFICER",
"authorized_official_telephone_number": "512-617-6074"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.