Individual provider Active NPI

Julie E Gavin, PA-C

  • Medical Physician Assistant
  • Round Rock, TX
National Provider Identifier
1548508526
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13292 Issued in TX
Practice address
603 Louis Henna Blvd Ste B140
Round Rock, TX 78664-4102
Phone
(512) 200-2269
Fax
(512) 782-9316
NPI assigned
Jan 25, 2013
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA13292 TX Primary

Addresses

Primary practice location

603 Louis Henna Blvd Ste B140
Round Rock, TX 78664-4102

Mailing address

603 Louis Henna Blvd Ste B140
Round Rock, TX 78664-4102
Phone (512) 200-2269

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
I20250804003709 TX Practitioner - Physician Assistant 8527386788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

1103 Rivery Blvd
Suite 145
Georgetown, TX 78628-3034
Phone (512) 572-4905

3550 S General Bruce Dr
Suite 115
Temple, TX 76504-5138
Phone (254) 312-4031

4301 W William Cannon Dr
Suite 300
Austin, TX 78749-1473
Phone (512) 222-8868

500 Canyon Ridge Dr
Suite B300
Austin, TX 78753-1654
Phone (512) 200-2369

603 Louis Henna Blvd
Suite B140
Round Rock, TX 78664-4102
Phone (512) 200-2269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13292TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kreider Chiropractic Inc Past Accepting new patients

Organizations & group practices 2

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": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1548508526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 LOUIS HENNA BLVD STE B140",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644102",
            "telephone_number": "512-200-2269",
            "fax_number": "512-782-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 LOUIS HENNA BLVD STE B140",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644102",
            "telephone_number": "512-200-2269",
            "fax_number": "512-782-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "JULIE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA13292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.