Round Rock LSCC OB/GYN – Federally Qualified Health Center (FQHC), NPI 1447316898

Round Rock LSCC OB/GYN is a healthcare provider. based in Georgetown, Texas. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 261QF0400X (TX). The NPI Number for Round Rock LSCC OB/GYN is 1447316898

Main info

Organization
Name
Round Rock LSCC OB/GYN
NPI
1447316898
Phone
(877) 800-5722
Address
205 E UNIVERSITY AVE
Authorized Official
JONATHAN DAVID CALVIN CEO
Enumeration Date
29 December 2006
Last Update Date
12 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Round Rock LSCC OB/GYN

  • The Georgetonian Office Building, 205, East University Avenue, Historic Georgetown, Georgetown, Williamson County, Texas, 78626, United States

    SUITE 200

    GEORGETOWN, TX 786266814

    Phone: (877) 800-5722

    Fax: (512) 869-2940

    Type: Mailing

  • Round Rock Avenue, The Oaklands, Round Rock, Williamson County, Texas, 78681, United States

    ROUND ROCK, TX 786814026

    Phone: (877) 800-5722

    Fax: (512) 255-5307

    Type: Location

  • 2423 WILLIAMS DR STE 107

    GEORGETOWN, TX 786283269

    Phone: (877) 800-5722

    Type: Mailing

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: 2007-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20070125000561OFederally Qualified Health Center (Fqhc)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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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 78626)

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Reviews

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Frequently asked questions

Does Round Rock LSCC OB/GYN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Round Rock LSCC OB/GYN uses 1447316898.
Does CMS list Round Rock LSCC OB/GYN as active?
Yes — Round Rock LSCC OB/GYN is active in the NPI listing used on this page.
What is Round Rock LSCC OB/GYN best known for clinically?
Directory data describes Round Rock LSCC OB/GYN with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Does Round Rock LSCC OB/GYN list a practice location?
Patients near Georgetown, Texas may find Round Rock LSCC OB/GYN in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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