Individual provider Active NPI

Zara Colon, PA

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1083956650
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1908 Issued in SC
Practice address
6330 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-2682
Phone
(505) 322-6687
NPI assigned
Mar 21, 2013
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 1908 SC Primary

Addresses

Primary practice location

6330 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-2682

Mailing address

1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6306

Other practice location 1

10110 Clemson Blvd
Seneca, SC 29678-0812
Phone (864) 482-3148

Other identifiers 1

IdentifierTypeStateIssuer
GP4697MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130829000808 SC Practitioner - Physician Assistant 4587807193 Reassigns benefits to 3 organizations
I20250122003432 TX Practitioner - Physician Assistant 4587807193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

2110 W Trenton Rd
Unit a
Edinburg, TX 78539-4674
Phone 8328694818235

2110 W Trenton Rd Unit B
Edinburg, TX 78539-4674
Phone 8328694818235

302 University Pkwy
Aiken, SC 29801-6302
Phone 8328694818235

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Center for Pain and Wellness, LLC CurrentSince Jun 27, 2026 Accepting new patients
Colorado Center for Pain and Wellness, PLLC Physician Assistant CurrentSince Jun 27, 2026 Accepting new patients

Locations

6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1083956650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202682",
            "telephone_number": "505-322-6687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10110 Clemson Blvd",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296780812",
            "country_code": "US",
            "telephone_number": "864-482-3148",
            "fax_number": "864-482-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "ZARA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4697",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.