CLOVER FAMILY MEDICINE, PLLC
NPI 1053992008
Family Medicine in Frisco, TX
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clover Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Clover Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Frisco, TX 75036
Source: 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
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, 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 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.
Is Clover Family Medicine, PLLC enrolled in Medicare?
Yes. Clover Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clover Family Medicine, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clover Family Medicine, PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 13 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.
# Clover Family Medicine, Pllc · NPI 1053992008
Family Medicine organization in Frisco, Texas. Organization record, active in the CMS NPPES registry since April 20, 2021.
## Identity
- **NPI:** 1053992008 (Entity type: Organization)
- **Enumerated:** April 20, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Southern Hospitality by CLOVER FAMILY MEDICINE (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Victoria Herold, CEO/ PHYSICIAN
## Practice location
- **Address:** 1125 LEGACY DR STE 220, Frisco, TX 75034-1942
- **Phone:** (469) 294-0210 · **Fax:** (877) 370-4339
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053992008) · Data from the CMS NPPES public registry.