Individual provider Active NPI

Carol Lee Hunnicutt, PA-C

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1750496469
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA00519 Issued in TX
Practice address
8230 Walnut Hill LN Ste 208
Dallas, TX 75231-4409
Phone
(214) 692-6135
Fax
(214) 692-6265
NPI assigned
Aug 20, 2006
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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 PA00519 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN Ste 208
Dallas, TX 75231-4409

Mailing address

8230 Walnut Hill LN Ste 208
Dallas, TX 75231-4409
Phone (214) 692-6135

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
I20081113000764 TX Practitioner - Physician Assistant 9537229083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

341 Wheatfield Dr
Sunnyvale, TX 75182-4639

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

6300 W Parker Rd
Suite G25
Plano, TX 75093-8105
Phone (972) 981-4090

8200 Walnut Hill LN
Dallas, TX 75231-4426
Phone (214) 345-8441

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Aug 1, 2017 Accepting new patients
Cardiology Consultants of Texas Past Accepting new patients
Edson H Cheung MD PA Past Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

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

8230 Walnut Hill Ln
Ste 208
Dallas, TX 75231
Phone (214) 692-6134

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

6300 W Parker Rd
Ste 322
Plano, TX 75093
Phone (972) 939-8294

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: chunnicutt17824@direct.texashealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1750496469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314409",
            "telephone_number": "214-692-6135",
            "fax_number": "214-692-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314409",
            "telephone_number": "214-692-6135",
            "fax_number": "214-692-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNNICUTT",
        "first_name": "CAROL",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA00519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.