Individual provider Active NPI

Paul Houston Stewart, PA

  • Physician Assistant
  • Midlothian, VA
National Provider Identifier
1174188544
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007202 Issued in VA
Practice address
11603 Midlothian Tpke
Midlothian, VA 23113-2620
Phone
(804) 378-3739
NPI assigned
May 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112732 FL
Physician Assistant 363A00000X 9635 GA
Physician Assistant 363A00000X 8224 WI
Physician Assistant 363A00000X 0110007202 VA Primary

Addresses

Primary practice location

11603 Midlothian Tpke
Midlothian, VA 23113-2620

Mailing address

PO Box 3548
Augusta, GA 30914-3548
Phone (706) 863-9595

Other practice location 1

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (706) 863-9595

Other practice location 2

3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868
Phone (706) 863-9595

Other practice location 3

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000

Other practice location 4

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (706) 863-9595 ext. 3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, VA, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200218001842 FL Practitioner - Physician Assistant 9133556814 Reassigns benefits to 1 organization
I20200526002960 GA Practitioner - Physician Assistant 9133556814 Reassigns benefits to 1 organization
I20201221000138 VA Practitioner - Physician Assistant 9133556814 Reassigns benefits to 4 organizations
I20250114000997 WI Practitioner - Physician Assistant 9133556814 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9112732FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S Veiga MD SC Current Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Physician Assistant CurrentSince Jan 1, 2025 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Dec 1, 2024 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Dec 1, 2024 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Hightower Emergency Group, PC Physician Assistant Past Accepting new patients

Locations

11603 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 378-3739

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1174188544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3548",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143548",
            "telephone_number": "706-863-9595",
            "fax_number": "706-447-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132620",
            "telephone_number": "804-378-3739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 Capital Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084402",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3675 J Dewey Gray Cir Ste 300",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091868",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 Jahnke Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232254017",
            "country_code": "US",
            "telephone_number": "706-863-9595 x3383",
            "fax_number": "706-447-7184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "PAUL",
        "middle_name": "HOUSTON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112732",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9635",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8224",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.