VITALITY HEALTH PARTNERS PLLC
NPI 1073492278
Family Medicine in Georgetown, TX

Active since September 01, 2025CLIA 45D2336620 · Waiver
101 COOPERATIVE WAY STE 405, GEORGETOWN, TX 78626(979) 571-5749 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitality Health Partners Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY HEALTH PARTNERS PLLC (NPI 1073492278) is a healthcare organization registered as a family medicine in Georgetown, Texas and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Shankar Bellam, Manager, as its authorized official.

NPPES Registry Identity

NPI1073492278
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITALITY HEALTH PARTNERS PLLC
Location Address101 COOPERATIVE WAY STE 405Georgetown, TX 78626-8208
Mailing Address3515 Longmire Dr Ste B120College Station, TX 77845-5489
Organization SubpartNo
Authorized OfficialShankar BellamManager · (979) 571-5749
Enumeration DateSeptember 1, 2025
NPPES CertifiedSeptember 1, 2025
NPI 1073492278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 COOPERATIVE WAY STE 405, Georgetown, TX 78626

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2336620

Vitality Health Partners PLLC · Georgetown, TX
Active · expires Jan 6, 2028
CLIA Number45D2336620
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorDr. Daniel D. Dawson
Laboratory Phone(979) 571-5749
Laboratory LocationVitality Health Partners PLLC101 Cooperative Way Ste 405, Georgetown, TX 78626
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Obstetric, Inpatient)
101 COOPERATIVE WAY STE 405
GEORGETOWN, TX 78626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Health Partners PLLC's NPI number?

The NPI number for Vitality Health Partners PLLC is 1073492278. It was assigned to this organization in the NPPES registry on September 1, 2025.

Where is Vitality Health Partners PLLC located?

Vitality Health Partners PLLC is located at 101 Cooperative Way Ste 405, Georgetown, TX 78626. The listed phone number is (979) 571-5749.

What is Vitality Health Partners PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Vitality Health Partners PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2336620) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vitality Health Partners PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Vitality Health Partners PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vitality Health Partners PLLC was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.