Individual provider Active NPI

William Phillip Whitlock

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1144865551
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2217 Park Bend Dr
Austin, TX 78758-5072
Phone
(512) 730-0000
NPI assigned
Nov 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 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 Primary

Addresses

Primary practice location

2217 Park Bend Dr
Austin, TX 78758-5072

Mailing address

2217 Park Bend Dr
Austin, TX 78758-5072

Other practice location 1

6325 Oak Valley Dr
Cumming, GA 30040-6484
Phone (919) 599-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, 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
I20200520002845 GA Practitioner - Physician Assistant 0941631287 Reassigns benefits to 2 organizations
I20251013003849 TX Practitioner - Physician Assistant 0941631287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians
St. David's Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1100 Northside Forsyth Dr
Suite 310
Cumming, GA 30041-6020
Phone (678) 730-7796

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1201 W Louis Henna Blvd
Austin, TX 78681-2301
Phone (512) 248-7000

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

2217 Park Bend Dr
Suite 400
Austin, TX 78758-5674
Phone (512) 306-1323

2300 Round Rock Ave
Suite 201
Round Rock, TX 78681-4026
Phone (512) 341-6612

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (512) 341-1000

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

919 E 32ND St
Austin, TX 78705-2703
Phone (412) 476-7111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. David's Ortho, Neuro and Rehab, PLLC CurrentSince Oct 17, 2025 Accepting new patients
Georgia Woundcare MD LLC PastSince Oct 1, 2024 Accepting new patients
Neurotexas, PLLC Past Accepting new patients

Locations

2217 Park Bend Dr
Ste 400
Austin, TX 78758

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2300 Round Rock Ave
Ste 201
Round Rock, TX 78681
Phone (512) 341-6612

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1144865551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 PARK BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PARK BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585072",
            "telephone_number": "512-730-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6325 Oak Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300406484",
            "country_code": "US",
            "telephone_number": "919-599-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "WILLIAM",
        "middle_name": "PHILLIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.