GENESIS PRIMECARE
NPI 1053663690
Clinic/Center - Federally Qualified Health Center (FQHC) in Texarkana, TX
About Genesis Primecare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENESIS PRIMECARE (NPI 1053663690) is a healthcare organization registered as a federally qualified health center (fqhc) in Texarkana, Texas and active in the NPI registry since October 2012. The organization holds 2 active CLIA laboratory certificates and lists Carla Roadcap, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Genesis Primecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
49Medicare enrollment records show 49 clinicians reassign Medicare billing to Genesis Primecare, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 49Source: 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 2
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 45D2132160
Genesis Primecare-Marshall Pediatrics · Marshall, TXCertificate of Waiver 45D2144412
East Texas Border Health Clinic Dba Genesis Primecare Ob · Texarkana, TXFrequently 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 East Texas Border Health Clinic's NPI number?
The NPI number for East Texas Border Health Clinic is 1053663690. It was assigned to this organization in the NPPES registry on October 5, 2012. The provider is doing business as Genesis Primecare.
Where is East Texas Border Health Clinic located?
East Texas Border Health Clinic is located at 1400 College Dr, Texarkana, TX 75503. The listed phone number is (903) 791-1110.
What is East Texas Border Health Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is East Texas Border Health Clinic enrolled in Medicare?
Yes. East Texas Border Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Texas Border Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 6 Medicare specialties reassign their Medicare billing to East Texas Border Health Clinic. 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 Nurse Practitioner (24), Mental Health Counselor (7) and Pediatric Medicine (7). Of these, 14 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Texas Border Health Clinic hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does East Texas Border Health Clinic accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list East Texas Border Health Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for East Texas Border Health Clinic was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Genesis Primecare · NPI 1053663690
Federally Qualified Health Center (FQHC) organization in Texarkana, Texas. Organization record, active in the CMS NPPES registry since October 5, 2012.
## Identity
- **NPI:** 1053663690 (Entity type: Organization)
- **Enumerated:** October 5, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** East Texas Border Health Clinic
- **Organization subpart:** No
- **Authorized official:** Carla Roadcap, CEO
## Practice location
- **Address:** 1400 COLLEGE DR, Texarkana, TX 75503-3536
- **Phone:** (903) 791-1110 · **Fax:** (903) 791-9353
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 49 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Mental Health Counselor (7), Pediatric Medicine (7); 14 practice at this address and 18 within 10 miles; [full list](https://npiprofile.com/npi/1053663690/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2024
- **Other identifiers:** Medicaid 192226202 (TX); Medicaid 198049002 (AR)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053663690) · Data from the CMS NPPES public registry.