Organization Active NPI

Centurion Superior Medical

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
National Provider Identifier
1932975166
Registry record updated Jul 22, 2025
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128A(a) exclusion effective Jun 22, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CENTURION SUPERIOR MEDICAL
Practice address
11211 Taylor Draper LN Ste 9
Austin, TX 78759-3916
Phone
(512) 522-9972
Fax
(512) 714-5192
NPI assigned
Nov 29, 2023
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Kerieann Watson
Title
Owner
Phone
(512) 522-9972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11211 Taylor Draper LN Ste 9
Austin, TX 78759-3916

Mailing address

11211 Taylor Draper LN Ste 9
Austin, TX 78759-3916
Phone (512) 522-9972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

11211 Taylor Draper Ln
Austin, TX 78759

11211 Taylor Draper Ln
Ste 9
Austin, TX 78759
Phone (512) 522-9972

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1932975166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN STE 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593916",
            "telephone_number": "512-522-9972",
            "fax_number": "512-714-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN STE 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593916",
            "telephone_number": "512-522-9972",
            "fax_number": "512-714-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION SUPERIOR MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KERIEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-522-9972"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.