Individual provider Active NPI

Antwain Marcel McGlothin

  • Medical Physician Assistant
  • Austin, TX
National Provider Identifier
1497220289
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA14120 Issued in TX
Practice address
3801 N Lamar Blvd
Austin, TX 78756-4080
Phone
(512) 407-7000
NPI assigned
Oct 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2026-0081 NM
Medical Physician Assistant 363AM0700X PA14120 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X UT

Addresses

Primary practice location

3801 N Lamar Blvd
Austin, TX 78756-4080

Mailing address

4747 Research Forest Dr Ste 165
Spring, TX 77381-4908
Phone (512) 745-0000

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
I20201207000305 TX Practitioner - Physician Assistant 1759792245 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio CurrentSince Dec 1, 2020 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Dec 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1497220289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 RESEARCH FOREST DR STE 165",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773814908",
            "telephone_number": "512-745-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564080",
            "telephone_number": "512-407-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLOTHIN",
        "first_name": "ANTWAIN",
        "middle_name": "MARCEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2026-0081",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA14120",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.