P Praxis·MD
● Active Type 1 · Individual

Jessica Atkinson, PA

Physician Assistant·Tyler, TX· NPI 1467829440 · Enumerated 2015 · 10 years on NPI
Atkinson is 1 of 101 physician assistant providers in Tyler and 1 of 11022 in Texas.
NPI age
10 years
Enumerated 2015-08-26
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
TX, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-07
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
10 years
≈ at median (10 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-08Enumerated in NPPES
2015 2026

Where they practice

Practice location
5414 S Broadway Ave
Tyler, TX 757031335
📞 9035811601
Mailing address
Po Box 841656
Dallas, TX 752841656
📞 9035315000

Additional practice locations

9 secondary locations on file with NPPES.

Location 2
3203 S Main St
Lindale, TX 757717727
📞 9032664000
Location 3
18780 Interstate 20
Canton, TX 751033593
📞 9035674841
Location 4
520 Douglas Blvd
Tyler, TX 757028307
📞 9036066400
Location 5
8389 S Broadway Ave
Tyler, TX 757035408
📞 9036066500
Location 6
800 E Dawson St
Tyler, TX 757012036
📞 9036064262
Location 7
2026 S Jackson St
Jacksonville, TX 757665822
📞 9035414500
Location 8
20208 State Highway 155 S
Flint, TX 757625600
📞 9038256222
Location 9
115 Airport Rd
Sulphur Springs, TX 754822105
📞 9038857671
Location 10
2222 N Nevada Ave
Colorado Springs, CO 809076819
📞 7197768040fax 7197768050

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 #PA10251CO license #PA.0008687 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    taxonomy 363AM0700X

Identifiers

TypeValueNotes
05 (TX) 351895303
05 (TX) 351895305
01 (TX) 75-0818167-015 TRICARE
01 (TX) 8493NY BCBS
01 (TX) 75-0818167-048 TRICARE
05 (TX) 351895306
01 (TX) 75-0818167-044 TRICARE
01 (TX) 75-2616977-028 TRICARE
01 (TX) 8627NY BCBS
01 (TX) 75-2616977-041 TRICARE
01 (TX) 75-2616977-002 TRICARE
05 (TX) 351895304
01 (TX) 8491NY BCBS
01 (TX) 8492NY BCBS
01 (TX) P01707527 RAIL ROAD MEDICARE
01 (TX) 75-0818167-022 TRICARE
01 (TX) 75-1976930-005 TRICARE
01 (TX) P01719711 RAIL ROAD MEDICARE
01 (TX) P01719714 RAIL ROAD MEDICARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 19 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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