Active NPI
Demertria Shondraya Collins
- Surgery of the Hand (Plastic Surgery) Physician
- Ft. Worth, TX
National Provider Identifier
1679418263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- 1683241
- Practice address
- 1620 Grantland Circle
Ft. Worth, TX 76112 - Phone
- (469) 799-6199
- NPI assigned
- Apr 21, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 1683241 | TX | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 1683241 | TX | Primary |
Addresses
Primary practice location
1620 Grantland Circle
Ft. Worth, TX 76112
Mailing address
10032 Pyrite Dr
Ft Worth, TX 76131-4345
Phone (469) 799-6199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1683241 | TX | MD | Surgery of the Hand (Plastic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1679418263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10032 PYRITE DR",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761314345",
"telephone_number": "469-799-6199",
"fax_number": "425-569-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 GRANTLAND CIRCLE",
"city": "FT. WORTH",
"state": "TX",
"postal_code": "76112",
"telephone_number": "469-799-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DEMERTRIA",
"middle_name": "SHONDRAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "1683241",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "TX",
"license": "1683241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft. Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.