Individual provider Active NPI

Paul Stewart, FNP-C

  • Family Nurse Practitioner
  • Canton, TX
National Provider Identifier
1699315192
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1044093 Issued in TX
Practice address
400 E State Highway 243 Ste 18
Canton, TX 75103-2445
Phone
(903) 287-5011
Fax
(903) 287-5017
NPI assigned
Jan 13, 2020
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1044093 TX Primary

Addresses

Primary practice location

400 E State Highway 243 Ste 18
Canton, TX 75103-2445

Mailing address

PO Box 1610
Athens, TX 75751-1610
Phone (903) 603-7067

Other practice location 1

801 W Main St
Gun Barrel City, TX 75156-5312
Phone (903) 887-1011

Other practice location 2

1505 State Highway 19 S
Athens, TX 75751-8950
Phone (903) 675-1725

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
I20220725003439 TX Practitioner - Nurse Practitioner 6901209097 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1044093TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Community Clinic, Inc. CurrentSince Sep 1, 2024 Accepting new patients
DCS Medical PA CurrentSince Dec 1, 2022 Accepting new patients
Cedar Creek Clinic, LLC CurrentSince May 10, 2024 Accepting new patients
DCS Medical PA CurrentSince Dec 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 9, 2026 Accepting new patients
East Texas Community Clinic, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Family CurrentSince Jan 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 9, 2026 Accepting new patients
Transtreme, LLC Family PastSince Sep 1, 2024 Accepting new patients
Trinity Clinic Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients

Locations

1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015

115 Medical Cir
Ste 100
Athens, TX 75751
Phone (903) 603-7067

1505 State Highway 19 S
Athens, TX 75751
Phone (903) 675-1725

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

400 E State Highway 243
Canton, TX 75103
Phone (903) 287-5011

400 E State Highway 243
Ste 18
Canton, TX 75103
Phone (903) 287-5011

2418 W Main St
Gun Barrel City, TX 75156
Phone (903) 713-2000

801 W Main St
Gun Barrel City, TX 75156
Phone (903) 887-1011

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

10207 China Spring Rd
Ste 170
Waco, TX 76708
Phone (254) 788-1500

Interoperability endpoints

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

Organizations & group practices 12

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1699315192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757511610",
            "telephone_number": "903-603-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATE HIGHWAY 243 STE 18",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751032445",
            "telephone_number": "903-287-5011",
            "fax_number": "903-287-5017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751565312",
            "country_code": "US",
            "telephone_number": "903-887-1011",
            "fax_number": "903-340-8410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 State Highway 19 S",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757518950",
            "country_code": "US",
            "telephone_number": "903-675-1725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "PAUL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1044093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

Verify at the official NPI Registry.