P Praxis·MD
● Active Type 1 · Individual

MRS. Jill Darlene Pridgen, PA-C, M.S.

Physician Assistant·Mabank, TX· NPI 1104021013 · Enumerated 2007 · 18 years on NPI
Pridgen is 1 of 2 physician assistant providers in Mabank and 1 of 11022 in Texas.
NPI age
18 years
Enumerated 2007-06-19
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-10-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
604 S 3rd St
Mabank, TX 751472700
📞 9038871073
Mailing address
1021 County Road 2105
Kemp, TX 751437501
📞 9034329863

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    TX license #PA 01037 taxonomy 363A00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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