Individual provider Active NPI

Manasa Enja, M.D.

  • Child & Adolescent Psychiatry Physician
  • Round Rock, TX
National Provider Identifier
1326400599
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
62543 Issued in TN
Practice address
2120 N Mays St Ste 430
Round Rock, TX 78664-2108
Phone
(877) 800-5722
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry Physician 2084P0804X 62543 TN Primary
Psychiatry Physician 2084P0800X V5526 TX

Addresses

Primary practice location

2120 N Mays St Ste 430
Round Rock, TX 78664-2108

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

2018 Western Ave
Knoxville, TN 37921-5718
Phone (865) 544-0406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210818001164 TN Practitioner - Psychiatry 6507150802 Reassigns benefits to 1 organization
I20250408002440 TX Practitioner - Psychiatry 6507150802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V5526TXMDPsychiatry Physician
62543TNMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Apr 14, 2025 Accepting new patients
Cherokee Health Systems Psychiatry CurrentSince Aug 6, 2021 Accepting new patients
Cherokee Health Systems CurrentSince Aug 6, 2021 Accepting new patients
Lone Star Circle of Care CurrentSince Apr 14, 2025 Accepting new patients
Lone Star Circle of Care Psychiatry Current Accepting new patients

Locations

2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406

501 Adesa Blvd
Ste A150
Lenoir City, TN 37771
Phone (865) 986-8082

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2120 N Mays St
Ste 430
Round Rock, TX 78664
Phone (512) 255-5120

Interoperability endpoints

  • Direct secure messaging: manasa.enja.1@29821.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1326400599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MAYS ST STE 430",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642108",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379215718",
            "country_code": "US",
            "telephone_number": "865-544-0406",
            "fax_number": "865-544-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENJA",
        "first_name": "MANASA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "62543",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V5526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.