Individual provider Active NPI

Charles R Jaynes, M.D.

  • Obstetrics & Gynecology Physician
  • Dripping Springs, TX
National Provider Identifier
1760544795
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E1203 Issued in TX
Practice address
10828 W Cave Loop
Dripping Springs, TX 78620-5078
Phone
(361) 550-1545
Fax
(267) 393-8809
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E1203 TX Primary

Addresses

Primary practice location

10828 W Cave Loop
Dripping Springs, TX 78620-5078

Mailing address

7610 W Highway 71
Austin, TX 78735-8231
Phone (512) 288-0859

Other identifiers 1

IdentifierTypeStateIssuer
101960602MedicaidTX

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
I20110420000768 TX Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 9133304942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
University of Texas Medical Branch at Galveston, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (800) 967-2289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1203TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 1, 2016 Accepting new patients
Lone Star Circle of Care Obstetrics & Gynecology Current Accepting new patients
Lone Star Circle of Care CurrentSince May 1, 2021 Accepting new patients
Lone Star Circle of Care CurrentSince May 1, 2021 Accepting new patients
House Call Doctors Texas PLLC Past Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

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

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

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

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

Interoperability endpoints

  • Direct secure messaging: charles.jaynes.p1@direct.lscctx.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1760544795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 W HIGHWAY 71",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358231",
            "telephone_number": "512-288-0859",
            "fax_number": "512-301-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 W CAVE LOOP",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205078",
            "telephone_number": "361-550-1545",
            "fax_number": "267-393-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNES",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E1203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101960602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

Verify at the official NPI Registry.