4 R FAMILIES MEDICAL CLINIC PLLC
NPI 1184135782
Family Medicine in Enid, OK

Active since October 23, 2017CLIA 37D2140288 · Waiver
721 W BROADWAY AVE STE C, ENID, OK 73701(580) 297-5340 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 4, 2024, May 4, 2022, Oct 23, 2017 (3 updates tracked since 2017).

About 4 R Families Medical Clinic Pllc NPPES

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

4 R FAMILIES MEDICAL CLINIC PLLC (NPI 1184135782) is a healthcare organization registered as a family medicine in Enid, Oklahoma and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Margo Renee Short, Owner, as its authorized official.

NPPES Registry Identity

NPI1184135782
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name4 R FAMILIES MEDICAL CLINIC PLLC
Location Address721 W BROADWAY AVE STE CEnid, OK 73701-3800
Mailing Address721 W Broadway Ave Ste CEnid, OK 73701-3800 · (580) 297-5340 · Fax (580) 297-5344
Organization SubpartNo
Authorized OfficialMargo Renee ShortOwner · (580) 297-5340
Enumeration DateOctober 23, 2017
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1184135782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 23498
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.
721 W BROADWAY AVE STE C, Enid, OK 73701

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

4 R Families Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 4 R Families Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1164478590
721 W BROADWAY AVE STE C
Enid, OK 73701
(580) 297-5340
✔ PECOSSame address

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 37D2140288

4 R Families Medical Clinic, PLLC · Enid, OK
Active · expires Nov 16, 2027
CLIA Number37D2140288
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorKrista B. Braud
Laboratory Phone(580) 297-5340
Laboratory Location4 R Families Medical Clinic, PLLC721 W Broadway, Ste C, Enid, OK 73701
CLIA data matches this NPI record on: 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 4 R Families Medical Clinic PLLC's NPI number?

The NPI number for 4 R Families Medical Clinic PLLC is 1184135782. It was assigned to this organization in the NPPES registry on October 23, 2017.

Where is 4 R Families Medical Clinic PLLC located?

4 R Families Medical Clinic PLLC is located at 721 W Broadway Ave Ste C, Enid, OK 73701. The listed phone number is (580) 297-5340.

What is 4 R Families Medical Clinic PLLC's specialty?

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

Is 4 R Families Medical Clinic PLLC enrolled in Medicare?

Yes. 4 R Families Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 4 R Families Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to 4 R Families Medical Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does 4 R Families Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2140288) is associated with this NPI, valid through November 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 4 R Families Medical Clinic PLLC was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.