Victoria Marie Grounds, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09110 Issued in TX

Practice address

801 W Main St
Gun Barrel City, TX 75156-5312

Phone

(903) 887-1011

Fax

(903) 603-9441

NPI assigned

May 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Victoria M Jacobs Former name

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Texas Community Clinic IncGroup PAC ID 3678902905, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• East Texas Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gun Barrel City, TX
  • NPI 1033752456

  TX

  Medicare reassignment Care Compare group NPD
• East Texas Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Canton, TX
  • NPI 1497568513
  Care Compare group NPD
• Athens Hospital, LLC

  • General Acute Care Hospital
  • Athens, TX
  • NPI 1417465824
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Texarkana, TX
  • NPI 1558314062
  NPD (past)
• Texas Emergency Room Services PA

  • Emergency Medicine Physician
  • Del Rio, TX
  • NPI 1447200696
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Hospital, LLC

  • General Acute Care Hospital
  • Athens, TX
  • NPI 1417465824

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1144588872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757511610",
            "telephone_number": "903-603-7067",
            "fax_number": "903-603-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751565312",
            "telephone_number": "903-887-1011",
            "fax_number": "903-603-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUNDS",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09110",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "JACOBS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Russell Giles Jr., MD
• Glen Haywood DC PC
• Marsha Gooch, LMT
• Aaron Edward Goswick
• Heather Michelle Green, CPM, LM
• Gun Barrel Family Dental Care, PLLC
• Gun Barrel Smiles PLLC
• Jennifer Anne Ham, CST, CSFA
• Kristina Haning, LCSW, LCDC
• Allen G Haywood, DC

• All providers in Gun Barrel City, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.