NPI age
19 years
Enumerated 2007-03-05
● Active
Type 1 · Individual
Jonathan R Redwing, PA-C
Redwing is 1 of 18 physician assistant providers in Tyler and 1 of 1890 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX, NM
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-10-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1890 active physician assistant providers in Texas.
NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
3414 Golden Rd
Tyler, TX 757018336
Mailing address
3414 Golden Rd
Tyler, TX 757018336
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2211 S Loop 256
Palestine, TX 758014701
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (NM) | 10034669 | CIGNA/LOVELACE |
| 01 (NM) | P00465646 | RAILROAD MCEDICARE |
| 05 (NM) | 80203361 | |
| 01 (NM) | 00NM00RL61 | BCBS |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 61 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.