Organization Active NPI

Ascend Medical Austin Texas, PA

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1366015794
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASCEND MEDICAL AUSTIN TEXAS, PA
Practice address
805 Las Cimas Pkwy Ste 130
Austin, TX 78746-6527
Phone
(404) 956-2132
NPI assigned
Jul 22, 2021
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Shannon Hernandez
Title
Revenue Cycle Manager
Phone
(404) 998-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

805 Las Cimas Pkwy Ste 130
Austin, TX 78746-6527

Mailing address

619 Rankin St NE
Atlanta, GA 30308-2920
Phone (888) 250-5708

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421002445 TX Part B Supplier - Clinic/Group Practice 1850788894 Receives reassigned benefits from 13 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

3560 Lenox Rd NE
Ste 1230
Atlanta, GA 30326
Phone (678) 500-8010

805 Las Cimas Pkwy
Austin, TX 78746

805 Las Cimas Pkwy
Ste 130
Austin, TX 78746
Phone (404) 956-2132

901 S Mopac Expy
Austin, TX 78746
Phone (512) 347-0255

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1366015794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 RANKIN ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082920",
            "telephone_number": "888-250-5708",
            "fax_number": "470-276-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LAS CIMAS PKWY STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466527",
            "telephone_number": "404-956-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND MEDICAL AUSTIN TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "404-998-8645"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 20, 2025; 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.