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

Mr. Alexander J Shupp, PA

Individual provider Physician Assistant · NPI 1457740664

Mr. Alexander J Shupp, PA is a Physician Assistant in Houston, Texas. Graduated from Lincoln Memorial University Medical Department in 2014, 12 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Texas.

Years since qualifying
12
Trained at
Lincoln Memorial University Medical Department
Licensed in
GA, TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1504 Taub Loop
Houston, TX 77030-1608
Phone: (713) 798-1750
Fax: (713) 798-4693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 — (770) 931-6012

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15968 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 7471 (GA)

Record details

NPI number1457740664
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 12, 2015
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2014 (12 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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