Individual provider Active NPI

Nathaniel Grey Jones, PA-C

  • Physician Assistant
  • Bedford, TX
National Provider Identifier
1750791240
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09140 Issued in TX
Practice address
1604 Hospital Pkwy Ste 501
Bedford, TX 76022-6932
Phone
(817) 684-2700
Fax
(817) 684-2709
NPI assigned
May 6, 2014
Last updated
Feb 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09140 TX Primary

Addresses

Primary practice location

1604 Hospital Pkwy Ste 501
Bedford, TX 76022-6932

Mailing address

1604 Hospital Pkwy Ste 501
Bedford, TX 76022-6932
Phone (817) 684-2700

Other identifiers 2

IdentifierTypeStateIssuer
338747401MedicaidTX
338747402MedicaidTX

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
I20140922002175 TX Practitioner - Physician Assistant 2769601897 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Mar 18, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 18, 2024 Accepting new patients
Texas Practitioners LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1202 E Arapaho Rd
Ste 122
Richardson, TX 75081
Phone (469) 250-4422

Organizations & group practices 5

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1750791240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 501",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226932",
            "telephone_number": "817-684-2700",
            "fax_number": "817-684-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 501",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226932",
            "telephone_number": "817-684-2700",
            "fax_number": "817-684-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NATHANIEL",
        "middle_name": "GREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338747401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338747402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.