Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Roger L Nottingham Jr., PA-C

Individual provider Physician Assistant · NPI 1164211041

Mr. Roger L Nottingham Jr., PA-C is a Physician Assistant in Austin, Texas. Qualified in 2025, 1 year ago. Practices with Total MD Physicians Group, PLLC, a 128-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
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

11521 N Fm 620 Rd Ste 945
Austin, TX 78726-1115
Phone: (512) 318-2559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19342 (TX)

Record details

NPI number1164211041
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 6, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Total Md Physicians Group, Pllc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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