CLOVER FAMILY MEDICINE, PLLC
NPI 1053992008
Family Medicine in Frisco, TX

Q: What is Clover Family Medicine, PLLC's NPI number?

The NPI number for Clover Family Medicine, PLLC is 1053992008. It was assigned to this organization in the NPPES registry on April 20, 2021. The provider is doing business as Southern Hospitality by CLOVER FAMILY MEDICINE.

Q: What is Clover Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 20, 2021CLIA 45D2232535 · Waiver

1125 LEGACY DR STE 220, FRISCO, TX 75034(469) 294-0210(877) 370-4339 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Mar 24, 2025, Oct 30, 2023 and 2 more (5 updates tracked since 2021).

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About Clover Family Medicine, Pllc NPPES

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

CLOVER FAMILY MEDICINE, PLLC (NPI 1053992008), doing business as Southern Hospitality By Clover Family Medicine, is a healthcare organization registered as a family medicine in Frisco, Texas and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Victoria Herold, Ceo/ Physician, as its authorized official.

NPPES Registry Identity

NPI1053992008

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCLOVER FAMILY MEDICINE, PLLC

Location Address1125 LEGACY DR STE 220Frisco, TX 75034-1942

Mailing Address5770 Fm 423, Ste 250-150Frisco, TX 75036 · (469) 294-0210

Phone(469) 294-0210

Fax(877) 370-4339

Organization SubpartNo

Authorized OfficialVictoria HeroldCeo/ Physician · (469) 294-0210

Enumeration DateApril 20, 2021

Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration

NPPES CertifiedMarch 21, 2025

✔ NPI 1053992008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1125 LEGACY DR STE 220, Frisco, TX 75034

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Other Names 1

Doing Business AsSouthern Hospitality By Clover Family Medicine

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 45D2232535

Clover Family Medicine · Frisco, TX

Active · expires Aug 14, 2027

CLIA Number45D2232535

Laboratory TypePhysician Office

Certificate Effective DateAugust 15, 2025

Certificate Expiration DateAugust 14, 2027

Laboratory DirectorVictoria C. Herold

Laboratory Phone(469) 294-0210

Laboratory LocationClover Family Medicine1125 Legacy Dr Ste 220, Frisco, TX 75034

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. KATY DIANE BRETT PA-C

Physician Assistant

1125 LEGACY DR STE 220
FRISCO, TX 75034

Denton County (469) 294-0210

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 Clover Family Medicine, PLLC's NPI number?

The NPI number for Clover Family Medicine, PLLC is 1053992008. It was assigned to this organization in the NPPES registry on April 20, 2021. The provider is doing business as Southern Hospitality by CLOVER FAMILY MEDICINE.

Where is Clover Family Medicine, PLLC located?

Clover Family Medicine, PLLC is located at 1125 Legacy Dr Ste 220, Frisco, TX 75034. The listed phone number is (469) 294-0210.

What is Clover Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Clover Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2232535) is associated with this NPI, valid through August 14, 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 Clover Family Medicine, PLLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.