Individual provider Active NPI

Lori Baird, PA-C

  • Surgical Physician Assistant
  • Southlake, TX
National Provider Identifier
1609051010
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA01972 Issued in TX
Practice address
630 N Kimball Ave Ste 110
Southlake, TX 76092-6887
Phone
(817) 313-7474
Fax
(214) 803-1633
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA01972 TX Primary

Addresses

Primary practice location

630 N Kimball Ave Ste 110
Southlake, TX 76092-6887

Mailing address

630 N Kimball Ave Ste 110
Southlake, TX 76092-6887
Phone (817) 313-7474

Other practice location 1

2120 N MacArthur Blvd
Irving, TX 75061-2221
Phone (972) 438-4636

Other practice location 2

245 W State Highway 114 Ste 300
Southlake, TX 76092-3640
Phone (872) 438-4636

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
I20040618000461 TX Practitioner - Physician Assistant 5092790709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Orthopedics and Sports MedicineGroup PAC ID 4183672652, 13 clinicians

Practice addresses (Care Compare)

2120 N Macarthur Blvd
Irving, TX 75061-2260
Phone 97243846361117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics & Sports Medicine CurrentSince May 12, 2024 Accepting new patients
North Texas Vascular Specialists PA PastSince Sep 1, 2019 Accepting new patients

Locations

2120 N MacArthur Blvd
Ste 100
Irving, TX 75061
Phone (972) 438-4636

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1609051010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926887",
            "telephone_number": "817-313-7474",
            "fax_number": "817-410-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N KIMBALL AVE STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926887",
            "telephone_number": "817-313-7474",
            "fax_number": "214-803-1633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750612221",
            "country_code": "US",
            "telephone_number": "972-438-4636",
            "fax_number": "214-260-1335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 W State Highway 114 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760923640",
            "country_code": "US",
            "telephone_number": "872-438-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "LORI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA01972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.