Carbon Health Medical Group of Florida PA
Organization Active NPI Urgent Care Clinic/Center · Austin, TX
NPI 1477155331 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1477155331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- CARBON HEALTH MEDICAL GROUP OF FLORIDA PA
- Practice address
- 9722 Great Hills TRL Ste 375
Austin, TX 78759-7263 - Phone
- (512) 910-3932
- NPI assigned
- Nov 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Marley Page
- Title
- Director
- Phone
- (417) 861-9739
Other NPIs with the same Medicare PAC ID 9
Practitioners 125
-
Jonathan A Albert, M.D.
-
Ifra Ali, PA
-
Amy Elizabeth Craigen, APRN
-
Khady Diagne, PA-C
-
Julia Nicole Fetters, PA-C
-
Woonsik Lee, P.A.
-
Thomas James Lugo, FNP
-
Dayna Marie Twyman, APRN, FNP-C
-
Stephen Young, PA-C
-
Janice Bautista, PA-C
-
Taeja Broadwater, PA-C
-
Kinga Karacson, PA-C
-
Marquetta Adams, FNP
-
Sylwia Baczinskas, FNP
-
Felicia Boutte, PA
-
Malissa Brown, APRN-CNP
-
Merlendi Brown, FNP
-
Minhhang Ba Chu, D.O
-
Teresa May Cooper, FNP-C
-
Mariam Dhanani, PA-C
-
Morgan Elizabeth Edwards, PA-C
-
Nadia Esmaeili, PA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2233777 | Carbon Health Medical Group of Florida, P.a. | Certificate of waiver | Aug 24, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210429002238 | TX | Part B Supplier - Clinic/Group Practice | 3274947304 |
Receives reassigned benefits from 80 practitioners Practice locations: West Lake Hills, TX; Kyle, TX; Austin, TX; Atascocita, TX |
National Provider Directory
Locations
9722 Great Hills Trl
Austin, TX 78759
19220 S I 35
Kyle, TX 78640
3300 Bee Caves Rd
West Lake Hills, TX 78746
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
9722 Great Hills TRL Ste 375
Austin, TX 78759-7263
Mailing address
2100 Franklin St Ste 355
Oakland, CA 94612-3140
Phone (415) 446-1733
Other providers in Austin, TX
- Christopher Navarro Caragan
- Adela Elisa Caramanica
- Demetris Diane Caraway
- Cyndi Carbajal
- Maritza Ugarte Carbajal
- Janet K. Carbonneau
- Ashley Mershon Card
- Cardenales Healing Center, PLLC
- Claudia Cardenas Pinzon
- Carmen Cardenas-Ornelas
All providers in Austin, TX · Urgent Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.