Individual provider Active NPI

Kandace Denise Gard-Dawson, P.A.

  • Physician Assistant
  • Big Spring, TX
National Provider Identifier
1427060144
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04235 Issued in TX
Practice address
1901 Highway 87 N
Big Spring, TX 79720-0283
Phone
(432) 267-8216
Fax
(432) 268-7790
NPI assigned
Aug 12, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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 PA04235 TX Primary

Addresses

Primary practice location

1901 Highway 87 N
Big Spring, TX 79720-0283

Mailing address

1901 N US Highway 87
Big Spring, TX 79720-0283
Phone (432) 267-8216

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000257 TX Practitioner - Physician Assistant 9436113396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Texas Centers for MHMRGroup PAC ID 3971587502, 14 clinicians

Practice addresses (Care Compare)

1501 W 11TH PL
Suite 104
Big Spring, TX 79720-4122
Phone (432) 263-0027

215 NW 1St Street
141A West Texas Centers Andrews County M
Andrews, TX 79714-6317
Phone (432) 523-7340

700 W Daggett St
Suite 4
Pecos, TX 79772-6901
Phone (432) 447-2628

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Big Bend Medical Group CurrentSince Mar 1, 2018 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients

Locations

1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700

1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216

Organizations & group practices 5

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1427060144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N US HIGHWAY 87",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797200283",
            "telephone_number": "432-267-8216",
            "fax_number": "432-268-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 87 N",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797200283",
            "telephone_number": "432-267-8216",
            "fax_number": "432-268-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD-DAWSON",
        "first_name": "KANDACE",
        "middle_name": "DENISE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.