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EAST TEXAS FAMILY MEDICINE PA
NPI 1205974417
Family Medicine in Palestine, TX

Active since February 01, 2007CLIA 45D0673541 · Waiver
4201 S LOOP 256, PALESTINE, TX 75801(903) 723-8533(903) 723-5190 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About East Texas Family Medicine Pa NPPES

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

EAST TEXAS FAMILY MEDICINE PA (NPI 1205974417) is a healthcare organization registered as a family medicine in Palestine, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 11, 2028 and lists Danny R Allison, Practice Mgr, as its authorized official.

NPPES Registry Identity

NPI1205974417
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST TEXAS FAMILY MEDICINE PA
Location Address4201 S LOOP 256Palestine, TX 75801-8476
Mailing Address4201 S Loop 256Palestine, TX 75801-8476 · (903) 723-8533 · Fax (903) 723-5190
Phone(903) 723-8533
Fax(903) 723-5190
Organization SubpartNo
Authorized OfficialDanny R AllisonPractice Mgr · (903) 723-8533
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMay 20, 2008
✔ NPI 1205974417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4201 S LOOP 256, Palestine, TX 75801
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Other Identifiers 3

Medicaid121032002TX
OtherCS1114Railroad Medicare
Medicare ID-Type Unspecified00893NTX

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Texas Family Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040805000611Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to East Texas Family Medicine PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Sidney Chadwell, D.O.
Family Practice
NPI 1902827801
4201 S LOOP 256
Palestine, TX 75801
(903) 723-8533
✔ PECOS✔ Accepts MedicareSame address
Delaney French, MD
Family Practice
NPI 1861405417
4201 S LOOP 256
Palestine, TX 75801
(903) 723-8533
✔ PECOS✔ Accepts MedicareSame address
John Klein, MD
Family Practice
NPI 1528071172
4201 S LOOP 256
Palestine, TX 75801
(903) 723-8533
✔ PECOS✔ Accepts MedicareSame address
Allen Mills, MD
Family Practice
NPI 1487667036
4201 S LOOP 256
Palestine, TX 75801
(903) 723-8533
✔ PECOS✔ Accepts MedicareSame address
Alicia Wilmeth, FNP-BC
Nurse Practitioner
NPI 1184370595
4201 S LOOP 256
Palestine, TX 75801
(903) 723-8533
✔ PECOS✔ Accepts MedicareSame 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 45D0673541

East Texas Family Medicine PA · Palestine, TX
Active · expires Aug 11, 2028
CLIA Number45D0673541
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 12, 2026
Certificate Expiration DateAugust 11, 2028
Laboratory DirectorDelaney D. French
Laboratory Phone(903) 723-8533
Laboratory LocationEast Texas Family Medicine PA4201 South Loop 256, Palestine, TX 75801
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 East Texas Family Medicine PA's NPI number?

The NPI number for East Texas Family Medicine PA is 1205974417. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is East Texas Family Medicine PA located?

East Texas Family Medicine PA is located at 4201 S Loop 256, Palestine, TX 75801. The listed phone number is (903) 723-8533.

What is East Texas Family Medicine PA's specialty?

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

Is East Texas Family Medicine PA enrolled in Medicare?

Yes. East Texas Family Medicine PA is registered in the Medicare PECOS enrollment system.

When is East Texas Family Medicine PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through East Texas Family Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to East Texas Family Medicine PA. 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 Family Practice (4) and Nurse Practitioner (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Texas Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0673541) is associated with this NPI, valid through August 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Texas Family Medicine PA was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.