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AUSTIN CHILDREN'S CLINIC, PA
NPI 1508080516
Pediatrics - Adolescent Medicine in Austin, TX

Active since April 12, 2007CLIA 45D0987623 · Waiver
11673 JOLLYVILLE RD, SUITE 104, AUSTIN, TX 78759(512) 338-5130(512) 338-5112 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Austin Children's Clinic, Pa NPPES

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

AUSTIN CHILDREN'S CLINIC, PA (NPI 1508080516) is a healthcare organization registered as an adolescent medicine in Austin, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Rebecca Pauline Myers, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508080516
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameAUSTIN CHILDREN'S CLINIC, PA
Location Address11673 JOLLYVILLE RD, SUITE 104Austin, TX 78759-3933
Mailing Address11673 Jollyville Rd, Suite 104Austin, TX 78759-3933 · (512) 338-5130 · Fax (512) 338-5112
Phone(512) 338-5130
Fax(512) 338-5112
Organization SubpartNo
Authorized OfficialRebecca Pauline MyersOffice Manager · (512) 338-5130
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 12, 2007
✔ NPI 1508080516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
11673 JOLLYVILLE RD, Austin, TX 78759
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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

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 45D0987623

Austin Children's Clinic PA · Austin, TX
Active · expires Apr 26, 2028
CLIA Number45D0987623
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorMary C. Petropoulos MD
Laboratory Phone(512) 338-5130
Laboratory LocationAustin Children's Clinic PA11673 Jolleyville Road, Suite 104, Austin, TX 78759
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

NORTHWEST WOMENS CLINIC P A
Obstetrics & Gynecology
11673 JOLLYVILLE RD, SUITE 205
AUSTIN, TX 78759
Travis County (512) 338-5161
HEART CLINIC OF AUSTIN, PA
Internal Medicine (Cardiovascular Disease)
11673 JOLLYVILLE RD, STE 205 B
AUSTIN, TX 78759
Travis County (512) 345-8888
ALICIA GROSSMANN MD
Internal Medicine
11673 JOLLYVILLE RD, SUITE 205
AUSTIN, TX 78759
Travis County (512) 568-3565
AMY KREYDIN NBCRT, CCAP
Reflexologist
11673 JOLLYVILLE RD, SUITE 201
AUSTIN, TX 78759
Travis County (512) 666-9374
DR. ANNA MARIA KROL
Chiropractor
11673 JOLLYVILLE RD, SUITE 202
AUSTIN, TX 78759
Travis County (512) 367-9315
MS. DEE ANN NEWBOLD L.AC.
Acupuncturist
11673 JOLLYVILLE RD, SUITE 201
AUSTIN, TX 78759
Travis County (512) 336-7424
DR. ANNA ESCAMILLA LCSW, PH.D.
Social Worker (Clinical)
11673 JOLLYVILLE RD, SUITE 204
AUSTIN, TX 78759
Travis County (512) 401-0002
IRA SHAPIRO M.D.
Obstetrics & Gynecology
11673 JOLLYVILLE RD, SUITE 205
AUSTIN, TX 78759
Travis County (512) 338-5161

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 Austin Children's Clinic, PA's NPI number?

The NPI number for Austin Children's Clinic, PA is 1508080516. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Austin Children's Clinic, PA located?

Austin Children's Clinic, PA is located at 11673 Jollyville Rd Suite 104, Austin, TX 78759. The listed phone number is (512) 338-5130.

What is Austin Children's Clinic, PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Austin Children's Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0987623) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Austin Children's Clinic, PA was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.