FAITH FAMILY CLINIC PLLC
NPI 1265194807
Family Medicine in Enid, OK
About Faith Family Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAITH FAMILY CLINIC PLLC (NPI 1265194807) is a healthcare organization registered as a family medicine in Enid, Oklahoma and active in the NPI registry since October 2021. The organization lists Jami Benton, Physician/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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)
Faith Family Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Faith Family Clinic PLLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Faith Family Clinic PLLC's NPI number?
The NPI number for Faith Family Clinic PLLC is 1265194807. It was assigned to this organization in the NPPES registry on October 11, 2021.
Where is Faith Family Clinic PLLC located?
Faith Family Clinic PLLC is located at 4125 W Owen K Garriott Rd Ste A-1, Enid, OK 73703. The listed phone number is (580) 616-3007.
What is Faith Family Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Faith Family Clinic PLLC enrolled in Medicare?
Yes. Faith Family Clinic PLLC is registered in the Medicare PECOS enrollment system.
When is Faith Family Clinic PLLC'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 (Oklahoma, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Faith Family Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Faith Family 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Faith Family Clinic PLLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Faith Family Clinic 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 Faith Family Clinic PLLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Faith Family Clinic Pllc · NPI 1265194807
Family Medicine organization in Enid, Oklahoma. Organization record, active in the CMS NPPES registry since October 11, 2021.
## Identity
- **NPI:** 1265194807 (Entity type: Organization)
- **Enumerated:** October 11, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jami Benton, PHYSICIAN/CEO
## Practice location
- **Address:** 4125 W OWEN K GARRIOTT RD STE A-1, Enid, OK 73703-4820
- **Phone:** (580) 616-3007 · **Fax:** (580) 324-8008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265194807) · Data from the CMS NPPES public registry.