Individual provider Active NPI

Nigel Andrew Adashefski, PA-C

  • Physician Assistant
  • Georgetown, TX
National Provider Identifier
1124790092
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14985 Issued in TX
Practice address
1502 Blue Ridge Dr Ste 301
Georgetown, TX 78626-1002
Phone
(512) 409-9903
NPI assigned
Sep 29, 2021
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 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 PA14985 TX Primary

Addresses

Primary practice location

1502 Blue Ridge Dr Ste 301
Georgetown, TX 78626-1002

Mailing address

6130 E 81St St
Tulsa, OK 74137-2125
Phone (512) 409-9903

Other practice location 1

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

Other practice location 2

4207 James Casey St Ste 111
Austin, TX 78745-3362
Phone (512) 409-9903

Other practice location 3

1401 Medical Parkway Building 1
Suite 412
Cedar Park, TX 78613-7763
Phone (512) 409-9903

Other practice location 4

5615 Kyle Center Dr
Kyle, TX 78640-6553
Phone (512) 409-9903

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
I20220131000093 TX Practitioner - Physician Assistant 9234522038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton J Baird PLCGroup PAC ID 7911242961, 15 clinicians

Practice addresses (Care Compare)

1502 Blue Ridge Dr
Suite 301
Georgetown, TX 78626-1002
Phone (512) 409-9903

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Nov 15, 2021 Accepting new patients
Clinton J Baird PLC CurrentSince Feb 1, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Nov 15, 2021 Accepting new patients
Clinton J Baird PLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

6130 E 81st St
Tulsa, OK 74137
Phone (918) 401-1002

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

4207 James Casey St
Ste 111
Austin, TX 78745
Phone (512) 409-9903

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1401 Medical Pkwy
Ste 412
Cedar Park, TX 78613
Phone (512) 260-6050

1502 Blue Ridge Dr
Ste 301
Georgetown, TX 78626
Phone (512) 409-9903

5615 Kyle Center Dr
Kyle, TX 78640
Phone (512) 409-9903

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

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.

Hospital & facility affiliations 2

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1124790092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372125",
            "telephone_number": "512-409-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 BLUE RIDGE DR STE 301",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786261002",
            "telephone_number": "512-409-9903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Seton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786658000",
            "country_code": "US",
            "telephone_number": "512-324-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4207 James Casey St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787453362",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Medical Parkway Building 1",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137763",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5615 Kyle Center Dr",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786406553",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADASHEFSKI",
        "first_name": "NIGEL",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.