Organization Active NPI

Parkinsons Restless Legs & Movement Disorder Specialists PLLC

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1174121586
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PARKINSONS RESTLESS LEGS & MOVEMENT DISORDER SPECIALISTS PLLC
Practice address
6618 Sitio del Rio Blvd Ste D102
Austin, TX 78730-1148
Phone
(512) 241-1567
Fax
(512) 241-1685
NPI assigned
Oct 16, 2020
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shelley McGahey
Title
Practice Manager
Phone
(512) 241-1567

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary
Clinical Neurophysiology Physician 2084N0600X NU

Addresses

Primary practice location

6618 Sitio del Rio Blvd Ste D102
Austin, TX 78730-1148

Mailing address

6618 Sitio del Rio Blvd Ste D102
Austin, TX 78730-1148
Phone (512) 241-1567

Other identifiers 1

IdentifierTypeStateIssuer
314993207MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201029001522 TX Part B Supplier - Clinic/Group Practice 7113337353 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1174121586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 SITIO DEL RIO BLVD STE D102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301148",
            "telephone_number": "512-241-1567",
            "fax_number": "512-241-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 SITIO DEL RIO BLVD STE D102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301148",
            "telephone_number": "512-241-1567",
            "fax_number": "512-241-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKINSONS RESTLESS LEGS & MOVEMENT DISORDER SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2022-03-23",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "MCGAHEY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "512-241-1567"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314993207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.

Verify at the official NPI Registry.