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CHISHOLM TRAIL PEDIATRICS INC PA
NPI 1114112745
Clinic/Center - Primary Care in Georgetown, TX

Active since September 06, 2007CLIA 45D0992963 · Waiver
600 HIGH TECH DR, GEORGETOWN, TX 78626(512) 930-4776(512) 863-4248 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chisholm Trail Pediatrics Inc Pa NPPES

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

CHISHOLM TRAIL PEDIATRICS INC PA (NPI 1114112745) is a healthcare organization registered as a primary care in Georgetown, Texas and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists David A Ramsey, Owner, as its authorized official.

NPPES Registry Identity

NPI1114112745
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHISHOLM TRAIL PEDIATRICS INC PA
Location Address600 HIGH TECH DRGeorgetown, TX 78626-8185
Mailing AddressPo Box 2089Georgetown, TX 78627-2089 · (512) 930-4776 · Fax (512) 863-4248
Phone(512) 930-4776
Fax(512) 863-4248
Organization SubpartNo
Authorized OfficialDavid A RamseyOwner · (512) 930-4776
Enumeration DateSeptember 6, 2007
✔ NPI 1114112745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
600 HIGH TECH DR, Georgetown, TX 78626
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc..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 45D0992963

Chisolm Trail Pediatrics · Georgetown, TX
Active · expires Oct 30, 2027
CLIA Number45D0992963
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorAndrew Cavanagh
Laboratory Phone(512) 930-4776
Laboratory LocationChisolm Trail Pediatrics600 High Tech Drive, Georgetown, TX 78626
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MARY KATHERINE BLEITNER
Nurse Practitioner (Pediatrics)
600 HIGH TECH DR
GEORGETOWN, TX 78626
Williamson County (512) 930-4776
GABRIELA PETROZZI RN, MSN, CPNP
Nurse Practitioner (Pediatrics)
600 HIGH TECH DR
GEORGETOWN, TX 78626
Williamson County (512) 930-4776
LISA SUZANNE FLACHS M.D.
Pediatrics
600 HIGH TECH DR
GEORGETOWN, TX 78626
Williamson County (512) 930-4776
BRITTNEY THRIFT CPNP-PC
Nurse Practitioner (Pediatrics)
600 HIGH TECH DR
GEORGETOWN, TX 78626
Williamson County (512) 930-4776
RAQUEL LIMON
Nurse Practitioner (Pediatrics)
600 HIGH TECH DR
GEORGETOWN, TX 78626
Williamson County (512) 930-4776
MS. RACHEL MATULA CPNP
Nurse Practitioner (Pediatrics)
600 HIGH TECH DR
GEORGETOWN, TX 78626
Williamson County (512) 930-4776
MIRANDA AFSHARIRAD CPNP
Nurse Practitioner (Pediatrics)
600 HIGH TECH DR
GEORGETOWN, TX 78626
Williamson County (512) 930-4776

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 Chisholm Trail Pediatrics Inc PA's NPI number?

The NPI number for Chisholm Trail Pediatrics Inc PA is 1114112745. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Chisholm Trail Pediatrics Inc PA located?

Chisholm Trail Pediatrics Inc PA is located at 600 High Tech Dr, Georgetown, TX 78626. The listed phone number is (512) 930-4776.

What is Chisholm Trail Pediatrics Inc PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Chisholm Trail Pediatrics Inc PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0992963) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chisholm Trail Pediatrics Inc PA accept?

Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Chisholm Trail Pediatrics Inc PA 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 Chisholm Trail Pediatrics Inc PA was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.