Privia Medical Group Gulf Coast, PLLC
NPI 1689267783 · Podiatrist · Austin, TX
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Privia Medical Group Gulf Coast, PLLC is a Podiatrist organization in Austin, TX (NPI 1689267783).
Provider details
- NPI number
- 1689267783
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Barbara Jordan, Associate Vp, Revenue Cycle(713) 512-7613
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shine Foot and Ankle Center, Privia Medical Group Gulf Coast, PLLC
Registry dates
- Enumerated
- 2021-02-19
- Last updated
- 2021-02-19
- Certified
- 2021-02-19
Frequently asked questions
- What is Privia Medical Group Gulf Coast, PLLC's NPI number?
- Privia Medical Group Gulf Coast, PLLC's National Provider Identifier (NPI) is 1689267783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Privia Medical Group Gulf Coast, PLLC?
- Privia Medical Group Gulf Coast, PLLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Privia Medical Group Gulf Coast, PLLC located?
- Privia Medical Group Gulf Coast, PLLC's practice location on file with NPPES is 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471.
- What is Privia Medical Group Gulf Coast, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Privia Medical Group Gulf Coast, PLLC is (512) 399-5711.
- Does Privia Medical Group Gulf Coast, PLLC accept Medicare?
- Privia Medical Group Gulf Coast, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Privia Medical Group Gulf Coast, PLLC?
- The authorized official listed on Privia Medical Group Gulf Coast, PLLC's NPPES record is Barbara Jordan, Associate Vp, Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Privia Medical Group Gulf Coast, PLLC's NPI active?
- Yes — Privia Medical Group Gulf Coast, PLLC's NPI (1689267783) is active in the NPPES registry as of the last update on 2021-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.