Active NPI
Mae-Lyn Gin, PA-C
- Physician Assistant
- San Antonio, TX
National Provider Identifier
1538611405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10908
- Practice address
- 7700 Floyd Curl Dr
San Antonio, TX 78229-3902 - Phone
- (706) 863-9595
- NPI assigned
- Oct 26, 2016
- 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 | PA10908 | TX | Primary |
Addresses
Primary practice location
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Mailing address
PO Box 12187
Augusta, GA 30914-2187
Phone (706) 863-9595
Other practice location 1
1600 Coit Rd
Suite 109
Plano, TX 75075-6174
Phone (972) 396-4120
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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 and National Provider Directory roles.
-
- Surgery Physician
- Plano, TX
- NPI 1316325905
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1215418280
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Round Rock, TX
- NPI 1134606353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1538611405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12187",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309142187",
"telephone_number": "706-863-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293902",
"telephone_number": "706-863-9595"
}
],
"practiceLocations": [
{
"address_1": "1600 Coit Rd",
"address_2": "Suite 109",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750756174",
"country_code": "US",
"telephone_number": "972-396-4120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIN",
"first_name": "MAE-LYN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.