Individual provider Active NPI

Virginia C Holmes, PA

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1912928359
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05492 Issued in TX
Practice address
7630 N Beach St Ste 140
Fort Worth, TX 76137-3016
Phone
(817) 281-2977
Fax
(817) 788-2530
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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 004523 GA
Physician Assistant 363A00000X PA05492 TX Primary

Addresses

Primary practice location

7630 N Beach St Ste 140
Fort Worth, TX 76137-3016

Mailing address

7630 N Beach St Ste 140
Fort Worth, TX 76137-3016
Phone (817) 281-2977

Other identifiers 1

IdentifierTypeStateIssuer
326751001MedicaidTX

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
I20080514000103 TX Practitioner - Physician Assistant 1850306846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

2005 Fort Worth Hwy
Suite 200
Weatherford, TX 76086-4781
Phone (817) 599-7661

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

7630 N Beach St
Fort Worth, TX 76137-3016
Phone (817) 281-2977

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jul 5, 2010 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

4504 Boat Club Rd
Ste 800
Ft Worth, TX 76135
Phone (817) 237-0515

7630 N Beach St
Ste 140
Ft Worth, TX 76137
Phone (817) 281-2977

2005 Fort Worth Hwy
Ste 200
Weatherford, TX 76086
Phone (817) 598-5620

Interoperability endpoints

  • Direct secure messaging: vholmes1288307@direct.texashealth.org

Organizations & group practices 2

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.

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1912928359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 N BEACH ST STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373016",
            "telephone_number": "817-281-2977",
            "fax_number": "817-788-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 N BEACH ST STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373016",
            "telephone_number": "817-281-2977",
            "fax_number": "817-788-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "VIRGINIA",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004523",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326751001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.