Individual provider Active NPI

Sherien George, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1376002535
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12486 Issued in TX
Practice address
4131 Spicewood Springs Rd Ste L2
Austin, TX 78759-8652
Phone
(512) 732-2122
Fax
(512) 732-2124
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 PA12486 TX Primary

Addresses

Primary practice location

4131 Spicewood Springs Rd Ste L2
Austin, TX 78759-8652

Mailing address

1525 Arrowhead LN
Carrollton, TX 75007-6021
Phone (972) 369-5089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA12486TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Mental Health Clinic PA CurrentSince Mar 21, 2021 Accepting new patients

Locations

4131 Spicewood Springs Rd
Ste L2
Austin, TX 78759
Phone (512) 521-6189

Organizations & group practices 1

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1376002535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 ARROWHEAD LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750076021",
            "telephone_number": "972-369-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE L2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598652",
            "telephone_number": "512-732-2122",
            "fax_number": "512-732-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SHERIEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.