Individual provider Active NPI

Gary Baldwin, PA-C

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1831380161
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4776 Issued in TN
Practice address
3200 Greenlawn Blvd
Round Rock, TX 78664-7590
Phone
(281) 783-8162
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19278 CA
Physician Assistant 363A00000X 4776 TN Primary

Addresses

Primary practice location

3200 Greenlawn Blvd
Round Rock, TX 78664-7590

Mailing address

3200 Greenlawn Blvd
Round Rock, TX 78664-7590
Phone (281) 783-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20071213000553 CA Practitioner - Physician Assistant 4688764756 Reassigns benefits to 3 organizations
I20211118000141 TN Practitioner - Physician Assistant 4688764756 Reassigns benefits to 3 organizations
I20240703001894 TX Practitioner - Physician Assistant 4688764756 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Practice addresses (Care Compare)

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

3200 Greenlawn Blvd
Suite 160
Round Rock, TX 78664-7591
Phone (281) 783-8162

Hospital & facility affiliations

  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19278CAMDVehicle Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Ca CurrentSince Feb 5, 2024 Accepting new patients
Nluc PLLC CurrentSince Dec 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 28, 2021 Accepting new patients
Nluc PLLC CurrentSince Dec 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 28, 2021 Accepting new patients
Nluc PLLC Current Accepting new patients
Regents of the Univ of Ca CurrentSince Feb 5, 2024 Accepting new patients
Amg-Crockett, LLC Physician Assistant CurrentSince Jun 20, 2022 Accepting new patients
Amg-Crockett, LLC CurrentSince Jun 20, 2022 Accepting new patients
Premier Emergency Physicians of California Medical Group PC Physician Assistant Past Accepting new patients
Rainbow Basin Emergency Physicians, a Medical Corporation Physician Assistant Past Accepting new patients
Prairie Schooner Emergency Physicians, a Medical Corporation Physician Assistant Past Accepting new patients

Locations

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

2019 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-1800

722 N Military St
Loretto, TN 38469
Phone (931) 853-4622

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • Direct secure messaging: ddi4770@yourcarecommunity.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1831380161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GREENLAWN BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647590",
            "telephone_number": "281-783-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENLAWN BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647590",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "GARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19278",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.