Individual provider Active NPI

Gregory Scott Carlson, NP

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1740822576
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP143487 Issued in TX
Practice address
12047 Potranco Rd Ste 105
San Antonio, TX 78253-7555
Phone
(210) 571-1338
Fax
(210) 571-1339
NPI assigned
Oct 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95034702 CA
Gerontology Nurse Practitioner 363LG0600X AP143487 TX Primary

Addresses

Primary practice location

12047 Potranco Rd Ste 105
San Antonio, TX 78253-7555

Mailing address

12047 Potranco Rd Ste 105
San Antonio, TX 78253-7555
Phone (210) 571-1338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220927001018 TX Practitioner - Nurse Practitioner 8022167303 Reassigns benefits to 1 organization
I20250724004336 CA Practitioner - Nurse Practitioner 8022167303 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143487TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Apr 1, 2023 Accepting new patients
Clinicas de Salud del Pueblo, Inc CurrentSince Jun 16, 2025 Accepting new patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2023 Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Jun 16, 2025 Accepting new patients
Clinicas de Salud del Pueblo, Inc. Past Accepting new patients
Columbia Medical Center of Plano Subsidiary LP Past Accepting new patients

Locations

321 W Hobsonway
Ste C
Blythe, CA 92225
Phone (760) 922-4981

50249 Harrison St
Ste K
Coachella, CA 92236
Phone 7603449951 ext. 10169

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2100 Hedgcoxe Rd
Ste 100
Plano, TX 75025
Phone (972) 801-3600

Interoperability endpoints

  • Direct secure messaging: gregory.carlson.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 9

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1740822576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12047 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537555",
            "telephone_number": "210-571-1338",
            "fax_number": "210-571-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12047 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537555",
            "telephone_number": "210-571-1338",
            "fax_number": "210-571-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95034702",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP143487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.