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

Madison Elizabeth Roman, PA-C

Individual provider Physician Assistant · NPI 1548874365

Madison Elizabeth Roman, PA-C is a Physician Assistant in Lake Jackson, Texas. Qualified in 2020, 6 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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

208 Oak Dr S Ste 300
Lake Jackson, TX 77566-5640
Phone: (979) 266-9544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1548874365
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lake Jackson