Individual provider Active NPI

Amanda Gail Ladd, PA-C

  • Physician Assistant
  • Lockhart, TX
National Provider Identifier
1508796855
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20439 Issued in TX
Practice address
1009 W San Antonio St
Lockhart, TX 78644-2421
Phone
(512) 376-5247
Fax
(512) 376-6252
NPI assigned
May 20, 2026
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 PA20439 TX Primary

Addresses

Primary practice location

1009 W San Antonio St
Lockhart, TX 78644-2421

Mailing address

1009 W San Antonio St
Lockhart, TX 78644-2421
Phone (512) 376-5247

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
I20260529000434 TX Practitioner - Physician Assistant 3678043890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lockhart Family Medicine PLLCGroup PAC ID 3577666817, 3 clinicians

Practice addresses (Care Compare)

1009 W San Antonio St
Lockhart, TX 78644-2421
Phone (512) 376-5247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA20439TXMDPhysician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEGCDD/Endpoint/BEGCDD

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, 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": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1508796855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W SAN ANTONIO ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442421",
            "telephone_number": "512-376-5247",
            "fax_number": "512-376-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W SAN ANTONIO ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442421",
            "telephone_number": "512-376-5247",
            "fax_number": "512-376-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "AMANDA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockhart, TX

Sources for this page

Verify at the official NPI Registry.