Individual provider Active NPI

Elvira Jasarevic, D.O.

  • Family Medicine Physician
  • Trophy Club, TX
National Provider Identifier
1295199677
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218789 Issued in NC
Practice address
2800 E Highway 114 Ste 200
Trophy Club, TX 76262-5306
Phone
(336) 207-5677
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218789 NC Primary

Addresses

Primary practice location

2800 E Highway 114 Ste 200
Trophy Club, TX 76262-5306

Mailing address

23 Durango Dr
Trophy Club, TX 76262-5120
Phone (336) 207-5677

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejasarevic101692@nghs.gadirect.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827001416 TX Practitioner - Family Practice 9830471614 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
218789NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Direct Primary Care PLLC Family Medicine Current Accepting new patients
Christopher a Hughes MD PLLC CurrentSince Oct 18, 2024 Accepting new patients
Georgia Heart Institute LLC PastSince Aug 27, 2019 Accepting new patients

Locations

1560 E Southlake Blvd
Ste 101
Southlake, TX 76092
Phone (682) 540-4824

2800 E Highway 114
Ste 200
Trophy Club, TX 76262
Phone 81726149062150

Interoperability endpoints

  • Direct secure messaging: elvira.jasarevic.1@17278.direct.athenahealth.com
  • Direct secure messaging: elvira.jasarevic.1@26772.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1295199677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DURANGO DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625120",
            "telephone_number": "336-207-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E HIGHWAY 114 STE 200",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625306",
            "telephone_number": "336-207-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASAREVIC",
        "first_name": "ELVIRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "218789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejasarevic101692@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3575 Braselton Hwy",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300191027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

Verify at the official NPI Registry.