Individual provider Active NPI

Ashley Dior McClary

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1205181013
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10174 Issued in TX
Practice address
3607 Manor Rd
Ste 100
Austin, TX 78723-5816
Phone
(512) 928-4600
NPI assigned
Jul 17, 2012
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY
Physician Assistant 363A00000X PA10174 TX Primary

Addresses

Primary practice location

3607 Manor Rd
Ste 100
Austin, TX 78723-5816

Mailing address

6804 N Capital of Texas Hwy
Apt 723
Austin, TX 78731-1771
Phone (843) 356-0975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC, UT, GA4 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
I20160107000392 TX Practitioner - Physician Assistant 5294969333 Reassigns benefits to 1 organization
I20250311002265 SC Practitioner - Physician Assistant 5294969333 Reassigns benefits to 1 organization
I20251113004486 UT Practitioner - Physician Assistant 5294969333 Reassigns benefits to 1 organization
I20251114000084 GA Practitioner - Physician Assistant 5294969333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4387SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DDHC Enterprises LLC Current Accepting new patients
Signify Health, LLC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Emergency Medicine Physicians of Suffolk County, PLLC Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

Organizations & group practices 4

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1205181013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 N CAPITAL OF TEXAS HWY",
            "address_2": "APT 723",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311771",
            "telephone_number": "843-356-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 MANOR RD",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787235816",
            "telephone_number": "512-928-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLARY",
        "first_name": "ASHLEY",
        "middle_name": "DIOR",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.