Individual provider Active NPI

Colby Wayne Cessnun, MD

  • Family Medicine Physician
  • McGregor, TX
National Provider Identifier
1366586554
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5090 Issued in TX
Practice address
215 N Main St
McGregor, TX 76657-1236
Phone
(254) 865-2166
Fax
(254) 248-6306
NPI assigned
Feb 19, 2007
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5090 TX Primary

Addresses

Primary practice location

215 N Main St
McGregor, TX 76657-1236

Mailing address

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-2166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccessnun@ch.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070621000309 TX Practitioner - Family Practice 3678672318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1507 W Main St
Gatesville, TX 76528-1098
Phone (254) 865-8251

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5090TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Jun 20, 2022 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Apr 21, 2014 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Apr 21, 2014 Accepting new patients
Providence Health Alliance CurrentSince Jun 20, 2022 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients

Locations

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

729 Sun Valley Blvd
Ste B
Hewitt, TX 76643
Phone (254) 537-6000

215 N Main St
McGregor, TX 76657
Phone (254) 405-6730

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

Interoperability endpoints

  • Direct secure messaging: ccessnun@ch.cernerdirect.com
  • Direct secure messaging: colby.cessnun.1@9635.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1366586554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "MCGREGOR",
            "state": "TX",
            "postal_code": "766571236",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESSNUN",
        "first_name": "COLBY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccessnun@ch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "215 N Main St",
            "city": "McGregor",
            "state": "TX",
            "country_code": "US",
            "postal_code": "766571236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McGregor, TX

Sources for this page

Verify at the official NPI Registry.