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

Lacey Gardner, PA-C

Individual provider Physician Assistant · NPI 1790226504

Lacey Gardner, PA-C is a Physician Assistant in Paris, Texas. Qualified in 2016, 10 years ago. Practices with Choctaw Nation of Oklahoma, a 270-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2017
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

865 Deshong Dr
Paris, TX 75460-9313
Phone: (903) 785-4521
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11191 (TX)

Record details

NPI number1790226504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020
Mailing addressPo Box 732, Antlers, OK 74523-0732

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Choctaw Nation Of Oklahoma — 270 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Paris