Active NPI
Kannon Health LLC
Doing business as Kannon Health
- Public Health & General Preventive Medicine Physician
- Lakeway, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- KANNON HEALTH LLC
- Doing business as
- Kannon Health
- Practice address
- 1010 Ranch Road 620 S Ste 206
Lakeway, TX 78734-5638 - Phone
- (512) 623-2050
- NPI assigned
- Oct 18, 2023
- Last updated
- Mar 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Watson Ching, MD
- Title
- Cmo
- Phone
- (512) 623-2050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | ||
| Public Health & General Preventive Medicine Physician | 2083P0901X | NU | Primary | |
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
1010 Ranch Road 620 S Ste 206
Lakeway, TX 78734-5638
Mailing address
12600 Hill Country Blvd Ste R-130
Bee Cave, TX 78738-7191
Phone (512) 623-2050
Other practice location 1
107 SE Main St Ste 514
Rocky Mount, NC 27801-5400
Phone (512) 623-2050
Other names 2
- Kannon Health
- Kannon Care Investments LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL, NC, TN
Enrollment records 4
National Provider Directory
National Provider DirectoryLocations
500 Webster St
Leesburg, FL 34748
Phone (352) 787-3787
107 SE Main St
Ste 514
Rocky Mount, NC 27801
Phone (512) 623-2050
1010 Ranch Road 620 S
Ste 206
Lakeway, TX 78734
Phone (512) 623-2050
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Public Health & General Preventive Medicine Physician
- Lakeway, TX
- NPI 1801232327
FL, NC, TN
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lakeway, TX
- NPI 1730675430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773619200000",
"number": "1912789595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 HILL COUNTRY BLVD STE R-130",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787387191",
"telephone_number": "512-623-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 RANCH ROAD 620 S STE 206",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787345638",
"telephone_number": "512-623-2050"
}
],
"practiceLocations": [
{
"address_1": "107 SE Main St Ste 514",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "NC",
"postal_code": "278015400",
"country_code": "US",
"telephone_number": "512-623-2050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KANNON HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-18",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A",
"authorized_official_last_name": "CHING",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "WATSON",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "512-623-2050",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kannon Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kannon Care Investments LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.