CCRM Austin, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CCRM AUSTIN, LLC

Practice address

5301 Southwest Pkwy Ste 350
Austin, TX 78735-8985

Phone

(727) 410-3707

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Matt Tyson

Title

Director, Managed Care Contracting

Phone

(615) 477-6677

Specialties & licenses 2

Addresses

Tax ID family

CCRM Austin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CCRM Austin, LLC

  • Clinical Medical Laboratory
  • Austin, TX
  • NPI 1336904861
  NPD tax ID

Locations

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1861257396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 SOUTHWEST PKWY STE 350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358985",
            "telephone_number": "737-497-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 SOUTHWEST PKWY STE 350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358985",
            "telephone_number": "727-410-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRM AUSTIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chyanne Cazares
• CCH Chiropractic PC
• CCMD Consulting LLC
• CCRC Healthcare, Inc.
• CCRM Austin, LLC
• Cdi Health, LLC
• Holly A Cearley, MD
• Byron Ceasar II, LPC ASSOCIATE
• Cec Westlake ER Physicians PLLC
• Matthew John Cecalek, P.T.

• Ambulatory Surgical Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.