JACK MONCRIEF GROUP, PA
NPI 1194053496
Pediatrics - Pediatric Nephrology in Austin, TX

Q: What is Jack Moncrief Group, PA's NPI number?

The NPI number for Jack Moncrief Group, PA is 1194053496. It was assigned to this organization in the NPPES registry on November 24, 2009.

Q: What is Jack Moncrief Group, PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Active since November 24, 2009

800 WEST 34TH STREET, SUITE 101, AUSTIN, TX 78705(512) 485-7870(512) 485-7876 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack Moncrief Group, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK MONCRIEF GROUP, PA (NPI 1194053496) is a healthcare organization registered as a pediatric nephrology in Austin, Texas and active in the NPI registry since November 2009. The organization lists Jack Wesly Moncrief, Owner, as its authorized official.

NPPES Registry Identity

NPI1194053496

Entity TypeOrganization

Primary Taxonomy2080P0210X

Legal Business NameJACK MONCRIEF GROUP, PA

Location Address800 WEST 34TH STREET, SUITE 101Austin, TX 78705

Mailing Address800 West 34th Street, Suite 101Austin, TX 78705 · (512) 485-7870 · Fax (512) 485-7876

Phone(512) 485-7870

Fax(512) 485-7876

Organization SubpartNo

Authorized OfficialJack Wesly MoncriefOwner · (512) 485-7870

Enumeration DateNovember 24, 2009

✔ NPI 1194053496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

800 WEST 34TH STREET, Austin, TX 78705

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Other Identifiers 3

Medicare PIN0054BL

Medicaid1311987-04TX

Medicare UPINC19471TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Moncrief Group, PA's NPI number?

The NPI number for Jack Moncrief Group, PA is 1194053496. It was assigned to this organization in the NPPES registry on November 24, 2009.

Where is Jack Moncrief Group, PA located?

Jack Moncrief Group, PA is located at 800 West 34th Street Suite 101, Austin, TX 78705. The listed phone number is (512) 485-7870.

What is Jack Moncrief Group, PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

When was this NPI record last updated?

The NPPES record for Jack Moncrief Group, PA was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.