CENTRAL TEXAS NEUROLOGICAL ASSOCIATION
NPI 1265516207
Psychiatry & Neurology - Neurology in Waco, TX

Active since October 25, 2006
205 WOODHEW DR STE 110, WACO, TX 76712(254) 399-9291(254) 399-8414 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 20, 2023, May 2, 2023, Jul 15, 2019 (3 updates tracked since 2019).

About Central Texas Neurological Association NPPES

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

CENTRAL TEXAS NEUROLOGICAL ASSOCIATION (NPI 1265516207) is a healthcare organization registered as a neurology in Waco, Texas and active in the NPI registry since October 2006. The organization lists Randy C Gardell, President, as its authorized official.

NPPES Registry Identity

NPI1265516207
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameCENTRAL TEXAS NEUROLOGICAL ASSOCIATION
Location Address205 WOODHEW DR STE 110Waco, TX 76712-6689
Mailing Address205 Woodhew Dr Ste 110Waco, TX 76712-6689 · (254) 399-9291 · Fax (254) 399-8414
Fax(254) 399-8414
Organization SubpartNo
Authorized OfficialRandy C GardellPresident · (254) 399-9291
Enumeration DateOctober 25, 2006
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1265516207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
205 WOODHEW DR STE 110, Waco, TX 76712

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Texas Neurological Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20110418000764Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Central Texas Neurological Association, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1659483873
205 WOODHEW DR STE 110
Waco, TX 76712
(254) 399-9291
✔ PECOS✔ Accepts MedicareSame 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 Central Texas Neurological Association's NPI number?

The NPI number for Central Texas Neurological Association is 1265516207. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Central Texas Neurological Association located?

Central Texas Neurological Association is located at 205 Woodhew Dr Ste 110, Waco, TX 76712. The listed phone number is (254) 399-9291.

What is Central Texas Neurological Association's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Central Texas Neurological Association enrolled in Medicare?

Yes. Central Texas Neurological Association is registered in the Medicare PECOS enrollment system.

When is Central Texas Neurological Association's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Central Texas Neurological Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Central Texas Neurological Association. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Texas Neurological Association was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.