Individual provider Active NPI

Padgett Parker, PA-C

  • Medical Physician Assistant
  • Abilene, TX
National Provider Identifier
1083158802
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10799 Issued in TX
Practice address
1850 Hickory St Ste 200F
Abilene, TX 79601-2305
Phone
(325) 670-4590
Fax
(883) 437-1277
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10799 TX Primary

Addresses

Primary practice location

1850 Hickory St Ste 200F
Abilene, TX 79601-2305

Mailing address

1850 Hickory St Ste 200F
Abilene, TX 79601-2305
Phone (325) 670-4590

Other identifiers 3

IdentifierTypeStateIssuer
366673702MedicaidTX
P02601774OtherTXMCRR
1L4707OtherTXMEDICARE

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
I20161227001997 TX Practitioner - Physician Assistant 1052692316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1850 Hickory St
Abilene, TX 79601-2305

1904 Pine St
Abilene, TX 79601-2450

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Stephens Memorial Hospital Hospital, Breckenridge, TX, CCN 671302
  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
  • Coleman County Medical Center Company Hospital, Coleman, TX, CCN 451347

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10799TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Aug 15, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2021 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jan 9, 2017 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jan 9, 2017 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1850 Hickory St
Ste 200F
Abilene, TX 79601
Phone (325) 670-4220

14120 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-2626

919 Hidden Rdg
Irving, TX 75038

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: padgett.parker.pa.1@21794.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1083158802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST STE 200F",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012305",
            "telephone_number": "325-670-4590",
            "fax_number": "883-437-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST STE 200F",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012305",
            "telephone_number": "325-670-4590",
            "fax_number": "883-437-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PADGETT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366673702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601774",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1L4707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.