Individual provider Active NPI

Gary Lindley Hawkins II, P.A.-C

  • Medical Physician Assistant
  • Aledo, TX
National Provider Identifier
1992731079
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03518 Issued in TX
Practice address
5700 East 1-20 Service Road South
Suite 100
Aledo, TX 76008-5115
Phone
(817) 489-7300
Fax
(817) 489-7301
NPI assigned
Jun 23, 2006
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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 PA03518 TX Primary

Addresses

Primary practice location

5700 East 1-20 Service Road South
Suite 100
Aledo, TX 76008-5115

Mailing address

505 Spring Creek Pkwy
Weatherford, TX 76087-7350
Phone (682) 351-7765

Other names 1

  • Mr. Gary Lindley Hawkins II Professional name

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
I20060814000116 TX Practitioner - Physician Assistant 1153324199 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA03518TXMDMedical Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1992731079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SPRING CREEK PKWY",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760877350",
            "telephone_number": "682-351-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 EAST 1-20 SERVICE ROAD SOUTH",
            "address_2": "SUITE 100",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760085115",
            "telephone_number": "817-489-7300",
            "fax_number": "817-489-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "GARY",
        "middle_name": "LINDLEY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "HAWKINS",
            "middle_name": "LINDLEY",
            "prefix": "MR.",
            "suffix": "II",
            "credential": "P.A.-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aledo, TX

Sources for this page

Verify at the official NPI Registry.