COUNTRY CLINIC PLLC
NPI 1285506261
Family Medicine in Gonzales, TX
About Country Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY CLINIC PLLC (NPI 1285506261) is a healthcare organization registered as a family medicine in Gonzales, Texas and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Commie Hisey, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 45D2332104
County Clinic PLLC · Gonzales, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Country Clinic PLLC's NPI number?
The NPI number for Country Clinic PLLC is 1285506261. It was assigned to this organization in the NPPES registry on September 19, 2025.
Where is Country Clinic PLLC located?
Country Clinic PLLC is located at 1308 Saint Louis St Ste B, Gonzales, TX 78629. The listed phone number is (830) 857-6884.
What is Country Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Country Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2332104) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Country Clinic PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Country 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 Country Clinic PLLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Country Clinic Pllc · NPI 1285506261
Family Medicine organization in Gonzales, Texas. Organization record, active in the CMS NPPES registry since September 19, 2025.
## Identity
- **NPI:** 1285506261 (Entity type: Organization)
- **Enumerated:** September 19, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Commie Hisey, OFFICE MANAGER
## Practice location
- **Address:** 1308 SAINT LOUIS ST STE B, Gonzales, TX 78629-2293
- **Phone:** (830) 857-6884
## Record status
- **NPPES last updated:** September 19, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285506261) · Data from the CMS NPPES public registry.