Individual provider Active NPI

Amanda B Paul, PA-C

  • Medical Physician Assistant
  • Plano, TX
National Provider Identifier
1912259755
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA07274 Issued in TX
Practice address
9925 Gillespie Dr Ste 3400
Plano, TX 75025-7535
Phone
(214) 383-0001
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA07274 TX Primary

Addresses

Primary practice location

9925 Gillespie Dr Ste 3400
Plano, TX 75025-7535

Mailing address

9925 Gillespie Dr Ste 3400
Plano, TX 75025-7535
Phone (214) 383-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1201 Richardson Dr
Suite 100
Richardson, TX 75080-4692

811 Brittany Way
Prosper, TX 75078-8516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA07274TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Primary Care PLLC CurrentSince Jul 2, 2026 Accepting new patients
Internal Medicine of the Rockies Past Accepting new patients
Munni Selagamsetty,MD,PC PastSince Dec 3, 2018 Accepting new patients

Locations

9925 Gillespie Dr
Ste 3400
Plano, TX 75025
Phone (214) 383-0001

Organizations & group practices 3

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": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1912259755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 GILLESPIE DR STE 3400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750257535",
            "telephone_number": "214-383-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 GILLESPIE DR STE 3400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750257535",
            "telephone_number": "214-383-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.