WELLCARE FAMILY CLINIC, INC.
NPI 1114481561
Clinic/Center in Dallas, TX
About Wellcare Family Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLCARE FAMILY CLINIC, INC. (NPI 1114481561) is a healthcare organization registered as a clinic/center in Dallas, Texas and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through June 16, 2027, maintains a secondary practice location in Fairview, and lists Godling Obi Onyegbunwa, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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)
Wellcare Family Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Wellcare Family Clinic, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 45D2227863
Wellcare Family Clinic Inc · Dallas, 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 Wellcare Family Clinic, Inc.'s NPI number?
The NPI number for Wellcare Family Clinic, Inc. is 1114481561. It was assigned to this organization in the NPPES registry on January 29, 2019.
Where is Wellcare Family Clinic, Inc. located?
Wellcare Family Clinic, Inc. is located at 18110 Midway Rd Ste 136, Dallas, TX 75287. The listed phone number is (214) 613-6009.
What is Wellcare Family Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Wellcare Family Clinic, Inc. enrolled in Medicare?
Yes. Wellcare Family Clinic, Inc. is registered in the Medicare PECOS enrollment system.
When is Wellcare Family Clinic, Inc.'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 February 28, 2027. 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 Wellcare Family Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wellcare Family Clinic, Inc.. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wellcare Family Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2227863) is associated with this NPI, valid through June 16, 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 Wellcare Family Clinic, Inc. was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Wellcare Family Clinic, Inc. · NPI 1114481561
Clinic/Center organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since January 29, 2019.
## Identity
- **NPI:** 1114481561 (Entity type: Organization)
- **Enumerated:** January 29, 2019
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Godling Onyegbunwa, ADMINISTRATOR
## Practice location
- **Address:** 18110 MIDWAY RD STE 136, Dallas, TX 75287-6632
- **Phone:** (214) 613-6009 · **Fax:** (214) 613-6002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114481561) · Data from the CMS NPPES public registry.