GENESIS PRIME CARE
NPI 1194332155
Family Medicine in Atlanta, TX
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
Specialties & Licenses 6
Other Names 1
Secondary Practice Locations 8
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)
Genesis Prime Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
49Medicare enrollment records show 49 clinicians reassign Medicare billing to Genesis Prime Care, which bills Medicare for the services they deliver. Of these, 11 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 49Source: 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 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, TXCertificate of Waiver 45D2209757
East Texas Border Health Dba Genesis Prime Care-Marshall Family Medical 2 · Marshall, TXCertificate of Waiver 45D2201872
East Texas Border Health Clinic Dba Genesis Prime Care-Pediatric · Texarkana, 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 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.
Is East Texas Border Health Clinic enrolled in Medicare?
Yes. East Texas Border Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Texas Border Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 6 Medicare specialties reassign their Medicare billing to East Texas Border Health Clinic. 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 (24), Mental Health Counselor (7) and Pediatric Medicine (7). Of these, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Genesis Prime Care · NPI 1194332155
Family Medicine organization in Atlanta, Texas. Organization record, active in the CMS NPPES registry since September 24, 2020.
## Identity
- **NPI:** 1194332155 (Entity type: Organization)
- **Enumerated:** September 24, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** East Texas Border Health Clinic
- **Organization subpart:** No
- **Authorized official:** Carla Roadcap, CEO
## Practice location
- **Address:** 1011 S WILLIAM ST, Atlanta, TX 75551-3245
- **Phone:** (903) 796-2868 · **Fax:** (903) 796-0802
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 49 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Mental Health Counselor (7), Pediatric Medicine (7); 11 practice at this address; [full list](https://npiprofile.com/npi/1194332155/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2024
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194332155) · Data from the CMS NPPES public registry.