Organization Active NPI

Kannon Health LLC

Doing business as Kannon Health

  • Public Health & General Preventive Medicine Physician
  • Lakeway, TX
National Provider Identifier
1912789595
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Kathryn Watson Ching, MDNPI 1801232327
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)CodeLicenseStatePrimary
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 Doing business as
  • Kannon Care Investments LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, NC, TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20231212004003 TX Part B Supplier - Clinic/Group Practice 7113376443 Receives reassigned benefits from 1 practitioner
Practice locations: Lakeway, TX
O20260331002776 FL Part B Supplier - Clinic/Group Practice 7113376443 Receives reassigned benefits from 1 practitioner
Practice locations: Leesburg, FL
O20260417000156 NC Part B Supplier - Clinic/Group Practice 7113376443 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Mount, NC
O20260612000210 TN Part B Supplier - Clinic/Group Practice 7113376443 Receives reassigned benefits from 1 practitioner
Practice locations: Hohenwald, TN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.