CEDAR CREEK CLINIC, LLC
NPI 1134539000
Clinic/Center - Primary Care in Gun Barrel City, TX

Active since May 01, 2014CLIA 45D2161302 · Waiver
2418 W MAIN ST, GUN BARREL CITY, TX 75156(903) 713-2000(903) 713-2004 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cedar Creek Clinic, Llc NPPES

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

CEDAR CREEK CLINIC, LLC (NPI 1134539000) is a healthcare organization registered as a primary care in Gun Barrel City, Texas and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Chelsea Rae Springer, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1134539000
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCEDAR CREEK CLINIC, LLC
Location Address2418 W MAIN STGun Barrel City, TX 75156-3638
Mailing Address2418 W Main StGun Barrel City, TX 75156-3638 · (903) 713-2000 · Fax (903) 713-2004
Fax(903) 713-2004
Organization SubpartNo
Authorized OfficialChelsea Rae SpringerOffice Manager · (903) 713-2000
Enumeration DateMay 1, 2014
Last NPPES UpdateFebruary 28, 2019
✔ NPI 1134539000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · 636969
2418 W MAIN ST, Gun Barrel City, TX 75156

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)

Cedar Creek Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Cedar Creek Clinic, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1659743482
2418 W MAIN ST
Gun Barrel City, TX 75156
(903) 713-2000
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1477282721
2418 W MAIN ST
Gun Barrel City, TX 75156
(903) 713-2000
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1225407000
2418 W MAIN ST
Gun Barrel City, TX 75156
(903) 713-2000
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1720097298
212 W CAYUGA DR
Athens, TX 75751
(903) 675-5742
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1376069260
1001 N PALESTINE ST
Athens, TX 75751
(903) 904-5084
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1699315192
400 E STATE HIGHWAY 243 STE 18
Canton, TX 75103
(903) 287-5011
✔ PECOS21 mi
Nurse Practitioner
NPI 1265095202
4437 ETHERIDE CIRCLE
Canton, TX 75103
(903) 288-5301
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1952110447
305 BONITA ST
Jacksonville, TX 75766
(903) 340-7221
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1700491735
2205 MOURNING DOVE LN
Lorena, TX 76655
(432) 770-6626
✔ PECOS✔ Accepts Medicare92 mi

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 45D2161302

Cedar Creek Clinic · Gun Barrel City, TX
Active · expires Jan 30, 2027
CLIA Number45D2161302
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorBenjamin Caldwell
Laboratory Phone(903) 713-2000
Laboratory LocationCedar Creek Clinic2418 W Main Street, Gun Barrel City, TX 75156
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cedar Creek Clinic, LLC's NPI number?

The NPI number for Cedar Creek Clinic, LLC is 1134539000. It was assigned to this organization in the NPPES registry on May 1, 2014.

Where is Cedar Creek Clinic, LLC located?

Cedar Creek Clinic, LLC is located at 2418 W Main St, Gun Barrel City, TX 75156. The listed phone number is (903) 713-2000.

What is Cedar Creek Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Cedar Creek Clinic, LLC enrolled in Medicare?

Yes. Cedar Creek Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cedar Creek Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Cedar Creek Clinic, LLC. 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 (8) and Family Practice (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cedar Creek Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2161302) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cedar Creek Clinic, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Cedar Creek Clinic, LLC 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 Cedar Creek Clinic, LLC was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.