ANDREWS CENTER - ELLIOTT ST
NPI 1467900738
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Canton, TX

Active since September 15, 2016
1738 ELLIOT DR, CANTON, TX 75103(903) 567-4541 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrews Center - Elliott St NPPES

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

ANDREWS CENTER - ELLIOTT ST (NPI 1467900738) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Canton, Texas and active in the NPI registry since September 2016. The organization lists Randa Haywood, Cfo, as its authorized official.

NPPES Registry Identity

NPI1467900738
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameANDREWS CENTER - ELLIOTT ST
Location Address1738 ELLIOT DRCanton, TX 75103-2604
Mailing Address1738 Elliot DrCanton, TX 75103-2604 · (903) 567-4541
Organization SubpartNo
Authorized OfficialRanda HaywoodCfo · (903) 597-1351
Enumeration DateSeptember 15, 2016
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1467900738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1738 ELLIOT DR, Canton, TX 75103

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)

Andrews Center - Elliott St 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 IDO20040519001179Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

71

Medicare enrollment records show 71 clinicians reassign Medicare billing to Andrews Center - Elliott St, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Psychiatry28
Nurse Practitioner22
Mental Health Counselor14
Clinical Social Worker3
Certified Clinical Nurse Specialist (CNS)2
Family Practice2

Nearest to this location (20)

See all 71
Nurse Practitioner
NPI 1033443700
575 W STATE HIGHWAY 243
Canton, TX 75103
(903) 567-4197
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1942204755
575 W HIGHWAY 243
Canton, TX 75103
(903) 567-4197
✔ PECOS✔ Accepts Medicare1.1 mi
Mental Health Counselor
NPI 1316677669
575 W STATE HIGHWAY 243
Canton, TX 75103
(903) 597-1351
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1982240776
6901 TX-19
Athens, TX 75751
(903) 675-8541
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1982448494
703 W PATTEN ST
Mineola, TX 75773
(903) 569-5409
✔ PECOS24 mi
Mental Health Counselor
NPI 1073483947
703 W PATTEN ST
Mineola, TX 75773
(903) 535-7344
✔ PECOS24 mi
Psychiatry
NPI 1629044557
6901 S. HWY 19
Athens, TX 75752
(903) 675-8541
✔ PECOS✔ Accepts Medicare27 mi
Mental Health Counselor
NPI 1669937041
2808 S MAIN ST STE I
Lindale, TX 75771
(903) 565-9022
✔ PECOS28 mi
Mental Health Counselor
NPI 1063261576
3212 W FRONT ST
Tyler, TX 75702
(903) 566-1010
✔ PECOS✔ Accepts Medicare34 mi
Mental Health Counselor
NPI 1396215604
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1801685532
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare35 mi
Clinical Social Worker
NPI 1336910348
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS35 mi
Psychiatry
NPI 1376519272
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1477157063
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare35 mi
Clinical Social Worker
NPI 1497536668
2323 W FRONT ST
Tyler, TX 75702
(903) 535-1351
✔ PECOS35 mi
Nurse Practitioner
NPI 1316780505
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare35 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1639692965
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare35 mi
Clinical Social Worker
NPI 1174397160
2323 W FRONT ST
Tyler, TX 75702
(903) 535-7358
✔ PECOS35 mi
Family Practice
NPI 1902218241
11937 US HIGHWAY 271
Tyler, TX 75708
(903) 877-7200
✔ PECOS✔ Accepts Medicare39 mi
Family Practice
NPI 1972752954
403 STATE HIGHWAY 110 N
Whitehouse, TX 75791
(903) 213-5515
✔ PECOS✔ Accepts Medicare44 mi
See all 71 clinicians

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 Andrews Center - Elliott St's NPI number?

The NPI number for Andrews Center - Elliott St is 1467900738. It was assigned to this organization in the NPPES registry on September 15, 2016.

Where is Andrews Center - Elliott St located?

Andrews Center - Elliott St is located at 1738 Elliot Dr, Canton, TX 75103. The listed phone number is (903) 567-4541.

What is Andrews Center - Elliott St's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Is Andrews Center - Elliott St enrolled in Medicare?

Yes. Andrews Center - Elliott St is registered in the Medicare PECOS enrollment system.

When is Andrews Center - Elliott St'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 Andrews Center - Elliott St?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 6 Medicare specialties reassign their Medicare billing to Andrews Center - Elliott St. 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. The largest specialties are Psychiatry (28), Nurse Practitioner (22) and Mental Health Counselor (14). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Andrews Center - Elliott St was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.