Individual provider Active NPI

Joshua Dewayne Wright, PA

  • Physician Assistant
  • Mansfield, TX
National Provider Identifier
1073091245
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12138 Issued in TX
Practice address
2975 E Broad St Ste 200
Mansfield, TX 76063
Phone
(806) 447-5311
Fax
(806) 447-3090
NPI assigned
Jul 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 PA12138 TX Primary

Addresses

Primary practice location

2975 E Broad St Ste 200
Mansfield, TX 76063

Mailing address

2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone (806) 447-5311

Other practice location 1

1011 15th St
Wellington, TX 79095-3703
Phone (806) 447-5311

Other practice location 2

1011 15th St
Wellington, TX 79095-3703
Phone (806) 447-5311

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
I20180827001825 TX Practitioner - Physician Assistant 5496004384 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
Granbury, TX 76048-5655

1310 B Paluxy Rd
Granbury, TX 76048-5655

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

2275 W S Loop
Stephenville, TX 76401-3968
Phone (254) 459-7130

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA12138TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Oct 1, 2019 Accepting new patients
Medhealth CurrentSince Oct 1, 2019 Accepting new patients
Hood Medical Group Physician Assistant CurrentSince Mar 3, 2025 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

2275 W South Loop
Ste 100
Stephenville, TX 76401
Phone (254) 459-7130

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: joshua.wright.1@1293.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1073091245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 E BROAD ST STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639186",
            "telephone_number": "806-447-5311",
            "fax_number": "806-447-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 E BROAD ST STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "806-447-5311",
            "fax_number": "806-447-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 15th St",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "TX",
            "postal_code": "790953703",
            "country_code": "US",
            "telephone_number": "806-447-5311",
            "fax_number": "806-447-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 15th St",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "TX",
            "postal_code": "790953703",
            "country_code": "US",
            "telephone_number": "806-447-5311",
            "fax_number": "806-447-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JOSHUA",
        "middle_name": "DEWAYNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.