Tia Nicole Flowers, PA-C
Individual provider Active NPI Physician Assistant · Red Oak, TX
NPI 1972186237 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1972186237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA18098 (TX)
- Practice address
- 301 E Ovilla Rd Ste 100
Red Oak, TX 75154-3830 - Phone
- (469) 800-9200
- NPI assigned
- May 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Morehouse School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Healthtexas Provider Network
Practice addresses (Care Compare)
1005 Legacy Ranch Rd
Suite 100
Waxahachie, TX 75165-1294
Phone (469) 800-9790
1441 S Midlothian Pkwy
Suite 100a
Midlothian, TX 76065-5597
Phone (469) 800-9440
2460 N Ih 35E
100 Baylor Scott and White
Waxahachie, TX 75165-5267
Phone (469) 800-9500
4001 Worth St
Dallas, TX 75246-1608
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
- Baylor Scott & White Medical Center- Waxahachie
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250129002124 | TX | Practitioner - Physician Assistant | 4880123207 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18098 | TX | MD | Physician Assistant |
| PA9116910 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Regional Health Care PLC | Family Medicine | Current |
Accepting new patients |
| Healthtexas Provider Network | Family Medicine | Current |
Accepting new patients |
| Healthtexas Provider Network | Current |
Accepting new patients |
Locations
6030 S Florida Ave
Ste 110
Lakeland, FL 33813
Phone (863) 644-9800
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
301 E Ovilla Rd
Ste 100
Red Oak, TX 75154
Phone (469) 800-9200
Interoperability endpoints
- tflowers1372486@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA9116910 | FL | |
| Medical Physician Assistant | 363AM0700X | PA9116910 | FL | |
| Physician Assistant | 363A00000X | PA18098 | TX | Yes |
Addresses
Primary practice location
301 E Ovilla Rd Ste 100
Red Oak, TX 75154-3830
Mailing address
401 Royal Crest Dr
Desoto, TX 75115-1480
Phone (469) 735-0275
Other practice location 1
720 Westview Dr SW
Atlanta, GA 30310-1458
Phone (404) 756-1959
Other practice location 2
6030 S Florida Ave Ste 110
Lakeland, FL 33813-3351
Phone (863) 644-9800
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.