1. Home
  2. Directory
  3. Texas
  4. Atlanta
  5. Family Medicine
  6. NPI Profile

GENESIS PRIME CARE
NPI 1194332155
Family Medicine in Atlanta, TX

Active since September 24, 2020CLIA Certified · 3 labs
1011 S WILLIAM ST, ATLANTA, TX 75551(903) 796-2868(903) 796-0802 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Jun 21, 2024, Jun 13, 2024 and 3 more (6 updates tracked since 2020).

About Genesis Prime Care NPPES

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

GENESIS PRIME CARE (NPI 1194332155) is a healthcare organization registered as a family medicine in Atlanta, Texas and active in the NPI registry since September 2020. The organization holds 3 active CLIA laboratory certificates, maintains 8 additional practice locations, and lists Carla Roadcap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194332155
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST TEXAS BORDER HEALTH CLINIC
Location Address1011 S WILLIAM STAtlanta, TX 75551-3245
Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782 · Fax (903) 927-1764
Phone(903) 796-2868
Fax(903) 796-0802
Organization SubpartNo
Authorized OfficialCarla RoadcapCeo · (903) 927-3782
Enumeration DateSeptember 24, 2020
Last NPPES UpdateAugust 5, 20246 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1194332155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Ambulatory Family Planning FacilityTaxonomy 261QA0005X
Also ListedNurse PractitionerTaxonomy 363L00000X
1011 S WILLIAM ST, Atlanta, TX 75551
Open in Google Maps ↗

Other Names 1

Doing Business AsGenesis Prime Care

Secondary Practice Locations 8

Location 1805 Lindsey DrMarshall, TX 75670-5271 · Phone (903) 938-1146 · Fax (903) 927-2434
Location 2622 S Grove StMarshall, TX 75670-5251 · Phone (903) 702-7900 · Fax (903) 702-7904
Location 3620 S Grove St Ste 105Marshall, TX 75670-5295 · Phone (903) 935-9441 · Fax (903) 938-1246
Location 4618 S Grove St Ste 100&300Marshall, TX 75670-5294 · Phone (903) 927-6620
Location 51400 College DrTexarkana, TX 75503-3536 · Phone (903) 791-1110 · Fax (903) 791-9353
Location 61205 E 35th StTexarkana, AR 71854-2746 · Phone (870) 216-0080 · Fax (870) 216-0093
Location 71411 College DrTexarkana, TX 75503-3533 · Phone (903) 791-1110 · Fax (903) 794-2979
Location 8705 S Grove StMarshall, TX 75670-5220 · Phone (903) 472-7307 · Fax (903) 472-7309

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 Compliance 45D0976266

East Texas Border Health Clinic Dba Genesis Primecare-Ellington Memorial Clinic · Atlanta, TX
Active · expires Apr 7, 2028
CLIA Number45D0976266
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorJanis S. Jackson
Laboratory Phone(903) 796-2868
Laboratory LocationEast Texas Border Health Clinic Dba Genesis Primecare-Ellington Memorial Clinic1011 S William Street, Atlanta, TX 75551
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 45D2209757

East Texas Border Health Dba Genesis Prime Care-Marshall Family Medical 2 · Marshall, TX
Active · expires Jan 14, 2027
CLIA Number45D2209757
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorJeffory Beaty
Laboratory Phone(903) 796-2868
Laboratory LocationEast Texas Border Health Dba Genesis Prime Care-Marshall Family Medical 2705 S Grove, Marshall, TX 75670
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2201872

East Texas Border Health Clinic Dba Genesis Prime Care-Pediatric · Texarkana, TX
Active · expires Nov 23, 2026
CLIA Number45D2201872
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorJeffory Beaty
Laboratory Phone(903) 796-2868
Laboratory LocationEast Texas Border Health Clinic Dba Genesis Prime Care-Pediatric1411 College Drive, Texarkana, TX 75503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MS. TIFFANY GRIFFIN PEACE FNP
Nurse Practitioner (Family)
1011 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-2868
DR. KRISTI DAWN HENDERSON MD
Family Medicine
1011 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-2868
SHERRIE L FITTS APN
Nurse Practitioner (Family)
1011 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-2868
MRS. JENNIFER LYNN SHIPP FNP-BC
Nurse Practitioner (Family)
1011 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-2868
MELINDA DYER SMITH FNP-C
Nurse Practitioner (Family)
1011 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-2868
EAST TEXAS BORDER HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
1011 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-2868
SUNNIE SMITH HOOTEN N.P.
Nurse Practitioner (Family)
1011 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-2868
JARED CHASE ANDERSON LCSW
Social Worker
1011 S WILLIAM ST
ATLANTA, TX 75551
Cass County (903) 796-2868

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 East Texas Border Health Clinic's NPI number?

The NPI number for East Texas Border Health Clinic is 1194332155. It was assigned to this organization in the NPPES registry on September 24, 2020. The provider is doing business as Genesis Prime Care.

Where is East Texas Border Health Clinic located?

East Texas Border Health Clinic is located at 1011 S William St, Atlanta, TX 75551. The listed phone number is (903) 796-2868.

What is East Texas Border Health Clinic's specialty?

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

Does East Texas Border Health Clinic hold CLIA laboratory certificates?

Yes. 3 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 East Texas Border Health Clinic accept?

Health plans from Blue Cross and Blue Shield of Texas list East Texas Border Health Clinic 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 East Texas Border Health Clinic was last updated on August 5, 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.