OLYMPIA NEUROLOGICAL INSTITUTE PLLC
NPI 1699627661
Neurological Surgery in Georgetown, TX

Active since February 12, 2026CLIA 37D2177137 · Certificate of Compliance
1502 BLUE RIDGE DR STE 301, GEORGETOWN, TX 78626(512) 409-9903(918) 493-3304 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olympia Neurological Institute Pllc NPPES

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

OLYMPIA NEUROLOGICAL INSTITUTE PLLC (NPI 1699627661) is a healthcare organization registered as a neurological surgery in Georgetown, Texas and active in the NPI registry since February 2026. The organization holds a CLIA Certificate of Compliance certificate valid through December 4, 2027, maintains 2 additional practice locations, and lists Tyesha Mosquito, Physician Relations Director, as its authorized official.

NPPES Registry Identity

NPI1699627661
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameOLYMPIA NEUROLOGICAL INSTITUTE PLLC
Location Address1502 BLUE RIDGE DR STE 301Georgetown, TX 78626-1002
Mailing Address6130 E 81st StTulsa, OK 74137-2125 · (918) 401-1002 · Fax (918) 493-3304
Fax(918) 493-3304
Organization SubpartNo
Authorized OfficialTyesha MosquitoPhysician Relations Director · (918) 519-4090
Enumeration DateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
NPI 1699627661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1502 BLUE RIDGE DR STE 301, Georgetown, TX 78626

Secondary Practice Locations 2

Location 15615 Kyle Center DrKyle, TX 78640-6553 · Phone (512) 409-9903 · Fax (918) 493-3304
Location 24207 James Casey St Ste 111Austin, TX 78745-3362 · Phone (512) 409-9903 · Fax (918) 493-3304

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Compliance 37D2177137

Olympia Neurological Institute · Tulsa, OK
Active · expires Dec 4, 2027
CLIA Number37D2177137
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorClinton J. Baird
Laboratory Phone(918) 513-1062
Laboratory LocationOlympia Neurological Institute6130 E 81st St, Tulsa, OK 74137
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
1502 BLUE RIDGE DR STE 301
GEORGETOWN, TX 78626
Neurological Surgery
1502 BLUE RIDGE DR STE 301
GEORGETOWN, TX 78626
Neurological Surgery
1502 BLUE RIDGE DR STE 301
GEORGETOWN, TX 78626
Neurological Surgery
1502 BLUE RIDGE DR STE 301
GEORGETOWN, TX 78626

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 Olympia Neurological Institute PLLC's NPI number?

The NPI number for Olympia Neurological Institute PLLC is 1699627661. It was assigned to this organization in the NPPES registry on February 12, 2026.

Where is Olympia Neurological Institute PLLC located?

Olympia Neurological Institute PLLC is located at 1502 Blue Ridge Dr Ste 301, Georgetown, TX 78626. The listed phone number is (512) 409-9903.

What is Olympia Neurological Institute PLLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Does Olympia Neurological Institute PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D2177137) is associated with this NPI, valid through December 4, 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 Olympia Neurological Institute PLLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.