Active NPI
Virginia C Holmes, PA
- Physician Assistant
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05492
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326751001 | Medicaid | TX |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | 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
- 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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.