CommUnityCare--William Cannon – Federally Qualified Health Center (FQHC), NPI 1205864774

CommUnityCare--William Cannon is a healthcare provider. based in Austin, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for CommUnityCare--William Cannon is 1205864774

Main info

Organization
Name
CommUnityCare--William Cannon
NPI
1205864774
Phone
(512) 978-9000
Address
PO BOX 17366
Authorized Official
JOY SLOAN CFO
Enumeration Date
30 June 2006
Last Update Date
24 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for CommUnityCare--William Cannon

  • PO BOX 17366

    AUSTIN, TX 787607366

    Phone: (512) 978-9000

    Fax: (512) 978-9001

    Type: Mailing

  • 6801 S IH 35 STE 1-E

    AUSTIN, TX 787444824

    Phone: (512) 978-9960

    Fax: (512) 978-9961

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (145 days away).

Enrollment records

1

Earliest due date

2026-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090323000422OFederally Qualified Health Center (Fqhc)TX2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78760)

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Reviews

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Frequently asked questions

Is there an official ID for CommUnityCare--William Cannon in U.S. healthcare records?
The official identifier for CommUnityCare--William Cannon is NPI 1205864774.
Would CommUnityCare--William Cannon appear as active to a payer?
You can treat CommUnityCare--William Cannon as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CommUnityCare--William Cannon?
At a glance, CommUnityCare--William Cannon is tied to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What practice footprint exists for CommUnityCare--William Cannon?
Travel planning: use Austin, Texas as the reference point for CommUnityCare--William Cannon, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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