Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Marie Stewart, PA-C

Individual provider Physician Assistant · NPI 1346592615

Tara Marie Stewart, PA-C is a Physician Assistant in Austin, Texas. Qualified in 2012, 14 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Texas.

Years since qualifying
14
Licensed in
MD, TX
In the registry since
2012
Specialties on file
2
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 Ranch Road 620 Ste 100
Austin, TX 78726-1112
Phone: (512) 402-6830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11355 Pembrooke Sq, Waldorf, MD 20603-4805 — (240) 252-2140

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA09071 (TX)
Physician Assistant Taxonomy 363A00000X · Licence C04875 (MD)

Record details

NPI number1346592615
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2012
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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