Active NPI
Rock Springs Physician Group LLC
- Psychiatry Physician
- Killeen, TX
National Provider Identifier
1003520701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ROCK SPRINGS PHYSICIAN GROUP LLC
- Practice address
- 5610 E Central Texas Expy
Killeen, TX 76543-5519 - Phone
- (512) 942-0206
- NPI assigned
- Jan 9, 2023
- Organization subpart
- Yes
- Parent organization
- ROCK SPRINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina Warren, CPMSM
- Title
- Director of Credentialing
- Phone
- (502) 381-3338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
5610 E Central Texas Expy
Killeen, TX 76543-5519
Mailing address
4801 Olympia Park PLZ Ste 1000
Louisville, KY 40241-2090
Phone (412) 588-3546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151012000352 | TX | Part B Supplier - Clinic/Group Practice | 2365751468 |
Receives reassigned benefits from 44 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cedar Park, TX; Georgetown, TX; Killeen, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Rock Springs LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1003520701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 OLYMPIA PARK PLZ STE 1000",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412090",
"telephone_number": "412-588-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 E CENTRAL TEXAS EXPY",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765435519",
"telephone_number": "512-942-0206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCK SPRINGS PHYSICIAN GROUP LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROCK SPRINGS, LLC",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "502-381-3338",
"authorized_official_credential": "CPMSM"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.