WINNSBORO INTERNAL MEDICINE
NPI 1154717536
Internal Medicine in Winnsboro, TX
About Winnsboro Internal Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINNSBORO INTERNAL MEDICINE (NPI 1154717536) is a healthcare organization registered as an internal medicine in Winnsboro, Texas and active in the NPI registry since April 2015. The organization holds 2 active CLIA laboratory certificates and lists Jared Bradford Petty, Physician, Authorized Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Winnsboro Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Winnsboro Internal Medicine, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (19)
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 2
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 45D2097909
Winnsboro Health Services, PLLC · Winnsboro, TXCertificate of Waiver 45D2233678
Winnsboro Health Services, PLLC · Winnsboro, 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 Winnsboro Health Services PLLC's NPI number?
The NPI number for Winnsboro Health Services PLLC is 1154717536. It was assigned to this organization in the NPPES registry on April 12, 2015. The provider is doing business as Winnsboro Internal Medicine.
Where is Winnsboro Health Services PLLC located?
Winnsboro Health Services PLLC is located at 209 E Broadway St, Winnsboro, TX 75494. The listed phone number is (903) 342-3355.
What is Winnsboro Health Services PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Winnsboro Health Services PLLC enrolled in Medicare?
Yes. Winnsboro Health Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Winnsboro Health Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Winnsboro Health Services PLLC. 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 (17) and Internal Medicine (2). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Winnsboro Health Services PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Winnsboro Health Services PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Winnsboro Health Services PLLC 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 Winnsboro Health Services PLLC was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Winnsboro Internal Medicine · NPI 1154717536
Internal Medicine organization in Winnsboro, Texas. Organization record, active in the CMS NPPES registry since April 12, 2015.
## Identity
- **NPI:** 1154717536 (Entity type: Organization)
- **Enumerated:** April 12, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Winnsboro Health Services Pllc
- **Organization subpart:** No
- **Authorized official:** Jared Petty, PHYSICIAN, AUTHORIZED MEMBER
## Practice location
- **Address:** 209 E BROADWAY ST, Winnsboro, TX 75494-2604
- **Phone:** (903) 342-3355 · **Fax:** (903) 342-3350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Internal Medicine (2); 6 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2015
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154717536) · Data from the CMS NPPES public registry.