Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordyn Taylor Lacy, PA-C

Individual provider Physician Assistant · NPI 1194578419

Jordyn Taylor Lacy, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2024, 2 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3600 Gaston Ave Ste 500
Dallas, TX 75246-1800
Phone: (505) 235-3368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Medical Pkwy, Lakeway, TX 78738-5621 — (512) 571-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18088 (TX)

Record details

NPI number1194578419
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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