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CRESCENT DIRECT PRIMARY CARE PLLC
NPI 1124979950
Family Medicine in Trophy Club, TX

Active since February 06, 2026CLIA 45D2326170 · Waiver
2800 E HIGHWAY 114 STE 200, TROPHY CLUB, TX 76262(682) 800-4727 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2026, Feb 6, 2026 (2 updates tracked since 2026).

About Crescent Direct Primary Care Pllc NPPES

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

CRESCENT DIRECT PRIMARY CARE PLLC (NPI 1124979950) is a healthcare organization registered as a family medicine in Trophy Club, Texas and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Elvira Jasarevic, Physician, as its authorized official.

NPPES Registry Identity

NPI1124979950
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRESCENT DIRECT PRIMARY CARE PLLC
Location Address2800 E HIGHWAY 114 STE 200Trophy Club, TX 76262-5306
Mailing Address23 Durango DrTrophy Club, TX 76262-5120
Phone(682) 800-4727
Organization SubpartNo
Authorized OfficialElvira JasarevicPhysician · (336) 207-5677
Enumeration DateFebruary 6, 2026
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1124979950 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.
2800 E HIGHWAY 114 STE 200, Trophy Club, TX 76262
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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 45D2326170

Crescent Direct Primary Care · Trophy Club, TX
Active · expires Jun 26, 2027
CLIA Number45D2326170
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorJasarevic Elvira
Laboratory Phone(336) 207-5677
Laboratory LocationCrescent Direct Primary Care2800 East State Highway 114 Suite 200, Trophy Club, TX 76262
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. ELVIRA JASAREVIC D.O.
Family Medicine
2800 E HIGHWAY 114 STE 200
TROPHY CLUB, TX 76262
Denton County (336) 207-5677
MEDICAL EDGE HEALTHCARE GROUP PA
Durable Medical Equipment & Medical Supplies
2800 E HIGHWAY 114 STE 200
TROPHY CLUB, TX 76262
Denton County (817) 837-3000

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 Crescent Direct Primary Care PLLC's NPI number?

The NPI number for Crescent Direct Primary Care PLLC is 1124979950. It was assigned to this organization in the NPPES registry on February 6, 2026.

Where is Crescent Direct Primary Care PLLC located?

Crescent Direct Primary Care PLLC is located at 2800 E Highway 114 Ste 200, Trophy Club, TX 76262. The listed phone number is (682) 800-4727.

What is Crescent Direct Primary Care PLLC's specialty?

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

Does Crescent Direct Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2326170) is associated with this NPI, valid through June 26, 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 Crescent Direct Primary Care PLLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.