NPI age
5 years
Enumerated 2021-02-19
● Active Type 2 · Organization
Privia Medical Group Gulf Coast, Pllc
Privia Medical Group Gulf Coast, Pllc is 1 of 957 podiatrist organizations in Texas.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jordan
Associate Vp, Revenue Cycle
Last NPPES update
2021-02-19
Source: monthly bulk 2026-05
How this organization compares
Across 957 active podiatrist providers in Texas.
NPI age
5 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-02Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
11614 Fm 2244 Rd Ste 150
Austin, TX 787385471
Mailing address
1200 Binz St Ste 1490
Houston, TX 770046946
Authorized official
Barbara Jordan
Associate Vp, Revenue Cycle
📞 7135127613
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Shine John, DPM Podiatrist NPI 1245407295
Specialties
-
Podiatrist PrimaryA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Shine Foot and Ankle Center, Privia Medical Group Gulf Coast, PLLC
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.