Organization Active NPI

Privia Gulf Coast Care Alliance, LLC

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1700683232
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PRIVIA GULF COAST CARE ALLIANCE, LLC
Practice address
1200 Binz St Ste 1490
Houston, TX 77004-6946
Phone
(713) 512-7700
NPI assigned
Mar 3, 2025
Organization subpart
Yes
Parent organization
PRIVIA MEDICAL GROUP GULF COAST PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Barbara Jordan, AVP
Title
Revenue Cycle Management
Phone
(713) 512-7613

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1200 Binz St Ste 1490
Houston, TX 77004-6946

Mailing address

1200 Binz St Ste 1490
Houston, TX 77004-6946
Phone (713) 512-7700

Other practice location 1

17516 US Highway 59 Ste 200
New Caney, TX 77357-8718
Phone (281) 359-2080

Other practice location 2

22698 Professional Dr Ste 100
Humble, TX 77339-5701
Phone (281) 312-8530

Other practice location 3

3036 Northpark Dr
Kingwood, TX 77339-5114
Phone (281) 360-8501

Other practice location 4

519 N King St Ste 101
Seguin, TX 78155-4859
Phone (830) 272-0210

Other practice location 5

515 N King St Ste 105
Seguin, TX 78155-4815
Phone (830) 272-0210

Other practice location 6

451 Kingwood Medical Dr Ste 200
Kingwood, TX 77339-6408
Phone (281) 359-2080

Other practice location 7

5132 Atascocita Rd Ste A
Atascocita, TX 77346-2845
Phone (281) 359-2080

National Provider Directory

National Provider Directory
Part of
Southwest Womens HLTH Allia

Locations

451 Kingwood Medical Dr
Ste 200
Kingwood, TX 77339
Phone (281) 359-2080

3036 Northpark Dr
Kingwood, TX 77339
Phone (281) 360-8501

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1700683232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1490",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046946",
            "telephone_number": "713-512-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1490",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046946",
            "telephone_number": "713-512-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17516 US Highway 59 Ste 200",
            "address_purpose": "LOCATION",
            "city": "New Caney",
            "state": "TX",
            "postal_code": "773578718",
            "country_code": "US",
            "telephone_number": "281-359-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22698 Professional Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773395701",
            "country_code": "US",
            "telephone_number": "281-312-8530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3036 Northpark Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773395114",
            "country_code": "US",
            "telephone_number": "281-360-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 N King St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781554859",
            "country_code": "US",
            "telephone_number": "830-272-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 N King St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781554815",
            "country_code": "US",
            "telephone_number": "830-272-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 Kingwood Medical Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773396408",
            "country_code": "US",
            "telephone_number": "281-359-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5132 Atascocita Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Atascocita",
            "state": "TX",
            "postal_code": "773462845",
            "country_code": "US",
            "telephone_number": "281-359-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIVIA GULF COAST CARE ALLIANCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIVIA MEDICAL GROUP GULF COAST PLLC",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "713-512-7613",
        "authorized_official_credential": "AVP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.