Active NPI
Jisa Saji George, PA-C
- Physician Assistant
- Grand Prairie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18566
- Practice address
- 4560 Lake Ridge Pkwy Ste 110
Grand Prairie, TX 75052-1707 - Phone
- (972) 522-7778
- Fax
- (972) 522-7779
- NPI assigned
- Aug 16, 2024
- Last updated
- May 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18566 | TX | Primary |
Addresses
Primary practice location
4560 Lake Ridge Pkwy Ste 110
Grand Prairie, TX 75052-1707
Mailing address
4560 Lake Ridge Pkwy Ste 110
Grand Prairie, TX 75052-1707
Phone (972) 522-7778
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgeorge2699814@Direct.TexasHealth.org | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4560 Lake Ridge Pkwy
Suite 110
Grand Prairie, TX 75052-1707
Phone (972) 522-7778
6411 E Northwest Hwy
Suite 120
Dallas, TX 75231-8007
Phone (469) 495-9110
800 Medical Ctr Dr
Suite C
Decatur, TX 76234-3844
Phone (940) 626-2110
800 Medical Ctr Dr C
Decatur, TX 76234-3844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Urgent Care | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Texas Health Urgent Care | Physician Assistant | Current | Accepting new patients |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Medhealth | Past | Accepting new patients |
Locations
6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110
6411 E Northwest Hwy
Ste 120
Dallas, TX 75231
Phone (469) 495-9110
4560 Lake Ridge Pkwy
Ste 110
Grand Prairie, TX 75052
Phone (972) 522-7778
125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104
Interoperability endpoints
- jgeorge2699814@direct.texashealth.org
Organizations & group practices 7
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.
-
dba Texas Health Breeze Urgent Care
- Urgent Care Clinic/Center
- Arlington, TX
- NPI 1952915365
Physician Assistant
-
- Family Medicine Physician
- Decatur, TX
- NPI 1962677740
-
dba Texas Health Breeze Urgent Care
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1104431527
-
dba Texas Health Breeze Urgent Care
- Urgent Care Clinic/Center
- Allen, TX
- NPI 1629724315
-
dba Texas Health Breeze Urgent Care
- Urgent Care Clinic/Center
- McKinney, TX
- NPI 1972118388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1437981537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 LAKE RIDGE PKWY STE 110",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750521707",
"telephone_number": "972-522-7778",
"fax_number": "972-522-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 LAKE RIDGE PKWY STE 110",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750521707",
"telephone_number": "972-522-7778",
"fax_number": "972-522-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JISA",
"middle_name": "SAJI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-16",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA18566",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgeorge2699814@Direct.TexasHealth.org",
"affiliation": "N",
"endpointDescription": "Health Information Exchange",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "6411 E Northwest Hwy",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "75231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Prairie, TX
- Adiseshu Gelli
- Gentle Hearts Home Health Services LLC (Gentle Hearts Home Health Services)
- Gents Clinic, PLLC
- Cecil F George Jr., DDS
- Gerald G George, D.O.
- Jane Geracci, M.S.C.C.C.
- Megan Christine Gerber
- Gertrude Dialysis, LLC (Dialysis Care of Grand Prairie)
- Sonya Lavette Geter, MT
- Jasmin Ghasemloian, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.