Individual provider Active NPI

Avery Victoria Cross, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1487389706
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008736 Issued in MD
Practice address
23119 W Interstate 10 Ste 904
San Antonio, TX 78257-1767
Phone
(210) 944-8855
NPI assigned
Jul 20, 2022
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 C0008736 MD Primary

Addresses

Primary practice location

23119 W Interstate 10 Ste 904
San Antonio, TX 78257-1767

Mailing address

23119 W Interstate 10 Ste 904
San Antonio, TX 78257-1767
Phone (210) 944-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20230405002795 MD Practitioner - Physician Assistant 5092180059 Reassigns benefits to 1 organization
I20250521001374 TX Practitioner - Physician Assistant 5092180059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

23119 Ih 10
BLDG 16
San Antonio, TX 78257-1767
Phone (210) 944-8855

23119 W Interstate 10
BLDG 9
San Antonio, TX 78257-1767
Phone (210) 944-8855

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Maryland Pain Management, LLC CurrentSince Feb 6, 2023 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Apr 10, 2025 Accepting new patients

Locations

1130 Annapolis Rd
Ste 100
Odenton, MD 21113
Phone (703) 347-1962

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

23119 Ih 10 W
Bldg 16
San Antonio, TX 78257

23119 W Interstate 10
Bldg 9
San Antonio, TX 78257
Phone (210) 944-8855

23119 W Interstate 10
Ste 904
San Antonio, TX 78257
Phone (210) 201-3456

9647 Huebner Rd
San Antonio, TX 78240
Phone (210) 735-5225

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: avery.cross.1@8042.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, 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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1487389706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23119 W INTERSTATE 10 STE 904",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571767",
            "telephone_number": "210-944-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 W INTERSTATE 10 STE 904",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571767",
            "telephone_number": "210-944-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "AVERY",
        "middle_name": "VICTORIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.