Individual provider Active NPI

Robbie Renee Locklear-Zoll, P.A.C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1295847812
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05273 Issued in TX
Practice address
19122 Prescott Oaks
San Antonio, TX 78258-3851
Phone
(210) 296-5443
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 PA05273 TX Primary

Addresses

Primary practice location

19122 Prescott Oaks
San Antonio, TX 78258-3851

Mailing address

19122 Prescott Oaks
San Antonio, TX 78258-3851
Phone (210) 296-5443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, 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
I20050928001477 NC Practitioner - Physician Assistant 5496780454 Reassigns benefits to 1 organization
I20111128000353 TX Practitioner - Physician Assistant 5496780454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

16191 Ranch Rd 620
Austin, TX 78717-5088
Phone (512) 593-7827

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

440 Chris Kelley Blvd
Hutto, TX 78634-2069
Phone (512) 265-1434

4851N Interstate 35
Round Rock, TX 78664-2405
Phone (512) 486-6140

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince May 23, 2018 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 5, 2023 Accepting new patients

Locations

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1295847812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19122 PRESCOTT OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583851",
            "telephone_number": "210-296-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19122 PRESCOTT OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583851",
            "telephone_number": "210-296-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLEAR-ZOLL",
        "first_name": "ROBBIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "P.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.