ANDRWES CENTER/ ATHENS PLACE
NPI 1780608323
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Athens, TX

Active since July 27, 2006
4875 FM 2709, ATHENS, TX 75752(903) 675-6784 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrwes Center/ Athens Place NPPES

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

ANDRWES CENTER/ ATHENS PLACE (NPI 1780608323) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Athens, Texas and active in the NPI registry since July 2006. The organization lists Randa Haywood, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780608323
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameANDRWES CENTER/ ATHENS PLACE
Location Address4875 FM 2709Athens, TX 75752-3807
Mailing Address4875 Fm 2709Athens, TX 75752-3807 · (903) 675-6784
Organization SubpartNo
Authorized OfficialRanda HaywoodCfo · (903) 597-1351
Enumeration DateJuly 27, 2006
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1780608323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
4875 FM 2709, Athens, TX 75752

Other Identifiers 1

Medicaid001001285TX

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)

Andrwes Center/ Athens Place 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 Andrwes Center/ Athens Place, which bills Medicare for the services they deliver. Of these, 1 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 1982240776
6901 TX-19
Athens, TX 75751
(903) 675-8541
✔ PECOS✔ Accepts Medicare4.5 mi
Psychiatry
NPI 1629044557
6901 S. HWY 19
Athens, TX 75752
(903) 675-8541
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1033443700
575 W STATE HIGHWAY 243
Canton, TX 75103
(903) 567-4197
✔ PECOS✔ Accepts Medicare16 mi
Psychiatry
NPI 1942204755
575 W HIGHWAY 243
Canton, TX 75103
(903) 567-4197
✔ PECOS✔ Accepts Medicare16 mi
Mental Health Counselor
NPI 1316677669
575 W STATE HIGHWAY 243
Canton, TX 75103
(903) 597-1351
✔ PECOS✔ Accepts Medicare16 mi
Mental Health Counselor
NPI 1669937041
2808 S MAIN ST STE I
Lindale, TX 75771
(903) 565-9022
✔ PECOS30 mi
Mental Health Counselor
NPI 1063261576
3212 W FRONT ST
Tyler, TX 75702
(903) 566-1010
✔ PECOS✔ Accepts Medicare31 mi
Mental Health Counselor
NPI 1396215604
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1801685532
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare31 mi
Clinical Social Worker
NPI 1336910348
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS31 mi
Psychiatry
NPI 1376519272
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1477157063
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare31 mi
Clinical Social Worker
NPI 1497536668
2323 W FRONT ST
Tyler, TX 75702
(903) 535-1351
✔ PECOS31 mi
Nurse Practitioner
NPI 1316780505
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare31 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1639692965
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS✔ Accepts Medicare31 mi
Clinical Social Worker
NPI 1174397160
2323 W FRONT ST
Tyler, TX 75702
(903) 535-7358
✔ PECOS31 mi
Psychiatry
NPI 1740474519
2323 W FRONT ST
Tyler, TX 75702
(903) 597-1351
✔ PECOS34 mi
Psychiatry
NPI 1689768525
4101 UNIVERSITY BLVD
Tyler, TX 75701
(903) 594-2450
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1972752954
403 STATE HIGHWAY 110 N
Whitehouse, TX 75791
(903) 213-5515
✔ PECOS✔ Accepts Medicare37 mi
Family Practice
NPI 1902218241
11937 US HIGHWAY 271
Tyler, TX 75708
(903) 877-7200
✔ PECOS✔ Accepts Medicare39 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 Andrwes Center/ Athens Place's NPI number?

The NPI number for Andrwes Center/ Athens Place is 1780608323. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Andrwes Center/ Athens Place located?

Andrwes Center/ Athens Place is located at 4875 Fm 2709, Athens, TX 75752. The listed phone number is (903) 675-6784.

What is Andrwes Center/ Athens Place's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Is Andrwes Center/ Athens Place enrolled in Medicare?

Yes. Andrwes Center/ Athens Place is registered in the Medicare PECOS enrollment system.

When is Andrwes Center/ Athens Place'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 Andrwes Center/ Athens Place?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 6 Medicare specialties reassign their Medicare billing to Andrwes Center/ Athens Place. 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, 1 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 Andrwes Center/ Athens Place was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.