TRAYNHAM MEDICAL PA
NPI 1306882436
Family Medicine in Justin, TX

Active since June 20, 2006CLIA 45D1015708 · Microscopy
15080 FM 156 STE D, JUSTIN, TX 76247(940) 242-0300(940) 242-0278 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Traynham Medical Pa NPPES

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

TRAYNHAM MEDICAL PA (NPI 1306882436) is a healthcare organization registered as a family medicine in Justin, Texas and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through February 5, 2027 and lists Julie A Traynham, President, as its authorized official.

NPPES Registry Identity

NPI1306882436
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRAYNHAM MEDICAL PA
Location Address15080 FM 156 STE DJustin, TX 76247-7923
Mailing Address15080 Fm 156 Ste DJustin, TX 76247-7923 · (940) 242-0300 · Fax (940) 242-0278
Fax(940) 242-0278
Organization SubpartNo
Authorized OfficialJulie A TraynhamPresident · (940) 242-0300
Enumeration DateJune 20, 2006
Last NPPES UpdateMay 7, 2020
NPPES CertifiedMay 7, 2020
✔ NPI 1306882436 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.
15080 FM 156 STE D, Justin, TX 76247

Other Identifiers 2

Medicaid163103801TX
Other77LMBcbs Tx

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)

Traynham Medical Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20040302000516Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
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 Traynham Medical PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1588612865
15080 FM 156 STE D
Justin, TX 76247
(940) 242-0300
✔ PECOSSame address

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

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 for Provider-Performed Microscopy Procedures (PPMP) 45D1015708

Traynham Medical, PA · Justin, TX
Active · expires Feb 5, 2027
CLIA Number45D1015708
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorJulie A. Traynham
Laboratory Phone(940) 242-0300
Laboratory LocationTraynham Medical, PA15080 Fm 156 S Suite D, Justin, TX 76247
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Traynham Medical PA's NPI number?

The NPI number for Traynham Medical PA is 1306882436. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Traynham Medical PA located?

Traynham Medical PA is located at 15080 Fm 156 Ste D, Justin, TX 76247. The listed phone number is (940) 242-0300.

What is Traynham Medical PA's specialty?

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

Is Traynham Medical PA enrolled in Medicare?

Yes. Traynham Medical PA is registered in the Medicare PECOS enrollment system.

When is Traynham Medical PA'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 November 30, 2026. 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 Traynham Medical PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Traynham Medical PA. 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.

Does Traynham Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1015708) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Traynham Medical PA was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.