Registry record
- NPI
- 1891036075
- Profession
- Physician Assistant (PA)
- Specialty
- Medical Physician Assistant (363AM0700X)
- Practice address
- 2010 W Katherine P Raines Rd Ste 300
Cleburne, TX 76033 - Phone
- 8175563212
- In the registry since
- March 12, 2013
- Last NPPES update
- April 18, 2023
- Sole proprietor
- No
- License
- PA08350 (TX)
At this location
3 other providers in our data list 2010 W Katherine P Raines Rd Ste 300, Cleburne as a practice address:
- Brenden Ketchem, PA-C
Physician Assistant · NPI 1740136977
- Molly Jo Lopez
Family Nurse Practitioner · NPI 1487181889
- Madelyn Willis
Physician Assistant · NPI 1942929666
In context
The NPI number of Jividen McCoy is 1891036075. They are a Medical Physician Assistant in Cleburne, Texas.
Jividen McCoy is the only Medical Physician Assistant in Cleburne in our data, and one of 2,844 across Texas.
The NPI has been in the federal registry for 13 years, since March 12, 2013.
Frequently asked questions
What is NPI 1891036075?
NPI 1891036075 is the 10-digit National Provider Identifier assigned to Jividen McCoy, a Medical Physician Assistant practicing in Cleburne, Texas. The record has been in the NPPES registry since March 12, 2013.
How do I verify this provider?
Cross-check NPI 1891036075 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA08350 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as April 18, 2023. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.