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HEALTH SOURCE OF SOUTH ROUND ROCK
NPI 1205668316
Chiropractor in Round Rock, TX

Active since August 16, 2024
115 SUNDANCE PKWY STE 505, ROUND ROCK, TX 78681(512) 985-1115(512) 368-2580 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Health Source Of South Round Rock NPPES

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

HEALTH SOURCE OF SOUTH ROUND ROCK (NPI 1205668316) is a healthcare organization registered as a chiropractor in Round Rock, Texas and active in the NPI registry since August 2024. The organization lists Chuck Cohn, Owner, as its authorized official.

NPPES Registry Identity

NPI1205668316
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business Name4 WELLNESS LIMITED LIABILITY COMPANY
Location Address115 SUNDANCE PKWY STE 505Round Rock, TX 78681-7927
Mailing Address2110 Rr 620 S Unit 341825Lakeway, TX 78734-0274 · (512) 553-5186 · Fax (512) 368-2580
Phone(512) 985-1115
Fax(512) 368-2580
Organization SubpartNo
Authorized OfficialChuck CohnOwner · (512) 985-1115
Enumeration DateAugust 16, 2024
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1205668316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
115 SUNDANCE PKWY STE 505, Round Rock, TX 78681
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Other Names 1

Doing Business AsHealth Source Of South Round Rock

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Health Source Of South Round Rock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Health Source Of South Round Rock, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Summer Phipps, DC
Chiropractic
NPI 1235947730
115 SUNDANCE PKWY STE 505
Round Rock, TX 78681
(512) 985-2225
✔ Accepts MedicareSame address
Syed Taha Ain, DC
Chiropractic
NPI 1124859715
115 SUNDANCE PKWY STE 505
Round Rock, TX 78681
(512) 553-5186
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4 Wellness Limited Liability Company's NPI number?

The NPI number for 4 Wellness Limited Liability Company is 1205668316. It was assigned to this organization in the NPPES registry on August 16, 2024. The provider is doing business as Health Source Of South Round Rock.

Where is 4 Wellness Limited Liability Company located?

4 Wellness Limited Liability Company is located at 115 Sundance Pkwy Ste 505, Round Rock, TX 78681. The listed phone number is (512) 985-1115.

What is 4 Wellness Limited Liability Company's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is 4 Wellness Limited Liability Company enrolled in Medicare?

Yes. 4 Wellness Limited Liability Company is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 4 Wellness Limited Liability Company?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to 4 Wellness Limited Liability Company. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does 4 Wellness Limited Liability Company accept?

Health plans from Blue Cross and Blue Shield of Texas list 4 Wellness Limited Liability Company 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 4 Wellness Limited Liability Company was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.