Individual provider Active NPI

Shayla T Matthews-Jackson, M.D.

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1427378710
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R1581 Issued in TX
Practice address
12201 Renfert Way Ste 220
Austin, TX 78758-5369
Phone
(877) 800-5722
NPI assigned
Jun 9, 2010
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD452011 PA
Obstetrics & Gynecology Physician 207V00000X R1581 TX Primary

Addresses

Primary practice location

12201 Renfert Way Ste 220
Austin, TX 78758-5369

Mailing address

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

Other practice location 1

11111 Research Blvd Ste 230
Austin, TX 78759-5791
Phone (877) 800-5722

Other practice location 2

1401 Medical Pkwy Ste 311
Cedar Park, TX 78613-5014
Phone (877) 800-5722

Other identifiers 2

IdentifierTypeStateIssuer
R1581OtherTXSTATE BOARD LICENSE
3677494-01MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shayla.matthews.p1@direct.lscctx.nextgenshare.com

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
I20170406000492 TX Practitioner - Obstetrics/Gynecology 1850510306 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD452011PAMDObstetrics & Gynecology Physician
R1581TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Mar 6, 2017 Accepting new patients
Lone Star Circle of Care CurrentSince Mar 6, 2017 Accepting new patients
Lone Star Circle of Care Obstetrics & Gynecology Current Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

11111 Research Blvd
Ste 295
Austin, TX 78759
Phone (512) 439-1003

12201 Renfert Way
Ste 220
Austin, TX 78758
Phone (512) 425-3825

1401 Medical Pkwy
Ste 311
Cedar Park, TX 78613
Phone (512) 795-2009

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

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

2423 Williams Dr
Ste 105
Georgetown, TX 78628

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

Interoperability endpoints

  • Direct secure messaging: shayla.matthews-jackson.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1427378710",
    "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": "12201 RENFERT WAY STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585369",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11111 Research Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595791",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "fax_number": "512-605-6396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Medical Pkwy Ste 311",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786135014",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS-JACKSON",
        "first_name": "SHAYLA",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD452011",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R1581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICENSE",
            "identifier": "R1581",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3677494-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shayla.matthews.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "11111 Research Blvd Ste 230",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787595791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.