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

Kip Phillips Jennings, MPA-C

Individual provider Physician Assistant · NPI 1871629279

Kip Phillips Jennings, MPA-C is a Physician Assistant in San Antonio, Texas. Qualified in 2006, 20 years ago. Practices with San Antonio Eye Center, PA, a 33-clinician group and accepts Medicare assignment. Licensed in North Carolina, Tennessee and Texas.

Years since qualifying
20
Licensed in
NC, TN, TX
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

800 McCullough Ave
San Antonio, TX 78215-1625
Phone: (210) 226-6169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-03163 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA10699 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 1481 (TN)

Record details

NPI number1871629279
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPA-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice San Antonio Eye Center, Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Antonio