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

William Phillip Whitlock

Individual provider Physician Assistant · NPI 1144865551

William Phillip Whitlock is a Physician Assistant in Austin, Texas. Qualified in 2019, 7 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

2217 Park Bend Dr
Austin, TX 78758-5072
Phone: (512) 730-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6325 Oak Valley Dr, Cumming, GA 30040-6484 — (919) 599-3277

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1144865551
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 8, 2019
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address2217 Park Bend Dr, Austin, TX 78758-5072

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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