Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568849966 Individual Practitioner Female Practitioner

Dr. Grace Averitt , DO

Pediatrics • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Grace Averitt, DO is a registered healthcare professional specializing in Pediatrics in Austin, TX. Practice services are available at 11714 WILSON PARKE AVE STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11714 Wilson Parke Ave Ste 150

Austin, TX 787264061

Telephone 5123466611
Fax 5124066267
Associated Practice Facility / Clinic
🏢 Austin Regional Clinic, Pa Facility NPI 1265896096

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
473 Specialists

Practicing in Austin, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX R6333

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
403173402 (TX)
Medicaid State Provider ID
4031734 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003822354

Doctor of Medicine (M.D.)

Breena Martin , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1013745702

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1013921261

Doctor of Medicine (M.D.)

Sybil Haydon , RN, FNP

Nurse Practitioner

NPI 1023023181

Registered Nurse, Family Nurse Practitioner

Dr. G, Mcintosh , MD

Family Medicine

NPI 1023048881

Doctor of Medicine (M.D.)

Polly Retz , RN, CPNP

Nurse Practitioner

NPI 1023130911

Registered Nurse, Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 19, 2024

Registered at 11714 WILSON PARKE AVE STE 150, AUSTIN, TX 787264061 (Tel: 5123466611)

📍
Updated Practice Location May 04, 2021

Registered at 940 W UNIVERSITY AVE STE 101, GEORGETOWN, TX 786265430 (Tel: 5128190264)

📍
Updated Business Mailing Address May 04, 2021

Registered at 6210 E HIGHWAY 290, AUSTIN, TX 787231142

📍
Updated Practice Location October 07, 2019

Registered at 11714 WILSON PARKE AVE STE 150, AUSTIN, TX 787264061 (Tel: 5123466611)

📍
Updated Business Mailing Address October 07, 2019

Registered at 6210 E HWY 290 STE 420, AUSTIN, TX 787231142

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2019

Pediatrics (License #R6333 in TX)

📍
Updated Practice Location May 15, 2018

Registered at DEPARTMENT OF PEDIATRICS TTUHSC, 3601 4TH STREET, STOP 9406, LUBBOCK, TX 79430 (Tel: 8067436630)

NPI Profile Active May 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2015

Registered at DEPARTMENT OF PEDIATRICS TTUHSC, 3601 4TH STREET, STOP 9406, LUBBOCK, TX 794300002 (Tel: 8067436630)

📍
Updated Business Mailing Address May 05, 2015

Registered at DEPARTMENT OF PEDIATRICS TTUHSC, 3601 4TH STREET, STOP 9406, LUBBOCK, TX 794300002

👤
Provider Name / Credentials Updated May 05, 2015

Recorded as GRACE AVERITT, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568849966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2015
Last Update: January 19, 2024
Sole Proprietor: No

Mailing Address

6210 E Highway 290

Austin, TX 787231142

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.