Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jividen James McCoy, PA-C

Individual provider Surgical Physician Assistant · NPI 1891036075

Jividen James McCoy, PA-C is a Physician Assistant in Cleburne, Texas. Qualified in 2012, 14 years ago. Practices with Chisholm Trail Orthopedics and Sports Medicine, LLLP, a 13-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2010 W Katherine P Raines Rd Ste 300
Cleburne, TX 76033-7447
Phone: (817) 556-3212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA08350 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA08350 (TX)

Record details

NPI number1891036075
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 12, 2013
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Chisholm Trail Orthopedics And Sports Medicine, Lllp — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cleburne