Individual provider Active NPI

Aaron Dudley, PA-C

  • Medical Physician Assistant
  • Lufkin, TX
National Provider Identifier
1811072168
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA05003
Practice address
1522 W Frank Ave
Lufkin, TX 75904-3334
Phone
(936) 632-1139
Fax
(936) 633-0616
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X PA05003 TX
Medical Physician Assistant 363AM0700X PA05003 Primary

Addresses

Primary practice location

1522 W Frank Ave
Lufkin, TX 75904-3334

Mailing address

503 Hill St
Lufkin, TX 75904-2792
Phone (936) 632-1139

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
I20240718003469 TX Practitioner - Physician Assistant 0749726420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burke CenterGroup PAC ID 1254312077, 28 clinicians

Practice addresses (Care Compare)

2001 S Medford Dr
Lufkin, TX 75901-6260
Phone (936) 633-5672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Center PastSince Jul 7, 2024 Accepting new patients
Angelina County & Cities Health District PastSince Feb 1, 2000 Accepting new patients
Epilepsy Foundation of Texas Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1811072168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 HILL ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042792",
            "telephone_number": "936-632-1139",
            "fax_number": "936-633-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043334",
            "telephone_number": "936-632-1139",
            "fax_number": "936-633-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "AARON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "PA05003",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "PA05003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.