Pca Setx LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PCA SETX LLC

Practice address

4347 Phelan Blvd Ste 101
Beaumont, TX 77707-2159

Phone

(409) 498-1258

NPI assigned

May 28, 2025

Last updated

May 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sabrina Davis

Title

Billing Manager

Phone

(409) 207-4941

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Dozier-Goldsmith, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1093340697
  Medicare reassignment Care Compare group NPD
• Amber Nicole Dupree, MSN, NP-C

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1073955837
  Medicare reassignment Care Compare group NPD
• Kayla Andresio, PA-C

  • Physician Assistant
  • Beaumont, TX
  • NPI 1730510223
  NPD (past)
• Kelsie Gilley, APRN

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1023623964
  NPD (past)
• Jamie Nicole Leblanc, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1851902993
  NPD (past)
• Dawn Roque, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1003401480
  NPD (past)
• Kimberly Bolin, APRN

  • Family Nurse Practitioner
  • Williamsburg, KY
  • NPI 1710631338
  NPD (past)
• Kristen Hoskins, FNP

  • Family Nurse Practitioner
  • Kansas City, MO
  • NPI 1346992203
  NPD (past)

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1760275945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17400 FRIO DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777134300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 PHELAN BLVD STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072159",
            "telephone_number": "409-498-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCA SETX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "409-207-4941",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sushma Kailash Pati, D.D.S
• Sumalatha Patibandla, MD
• Rahul Patri, MD
• Julie Schaefer Patterson, SPEECH PATHOLOGIST
• Loronza Tyrone Patterson Sr.
• William Allen Pearce, M.D.
• Peccio Medi-Mart Plus L L C (Peccio Pharmacy Plus)
• Stephanie White Peddy
• Pediatric Gastroenterology Consulants, PA
• Pediatric Rehabilitation of Texas, Inc.

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.