HALLSVILLE MEDICAL CLINIC PLLC
NPI 1295406775
General Practice in Hallsville, TX
About Hallsville Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HALLSVILLE MEDICAL CLINIC PLLC (NPI 1295406775) is a healthcare organization registered as a general practice in Hallsville, Texas and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Jean Rene Yates-halbert, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Hallsville Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Hallsville Medical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 45D2234188
Hallsville Medical Clinic · Hallsville, 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 Hallsville Medical Clinic PLLC's NPI number?
The NPI number for Hallsville Medical Clinic PLLC is 1295406775. It was assigned to this organization in the NPPES registry on September 23, 2021.
Where is Hallsville Medical Clinic PLLC located?
Hallsville Medical Clinic PLLC is located at 209 W Main St Suite D, Hallsville, TX 75650. The listed phone number is (903) 668-7462.
What is Hallsville Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Hallsville Medical Clinic PLLC enrolled in Medicare?
Yes. Hallsville Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
When is Hallsville Medical 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 (Texas, Clinic/Group Practice) is due for revalidation by February 28, 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 Hallsville Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Hallsville Medical Clinic PLLC, in Nephrology and Pediatric Medicine. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hallsville Medical Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2234188) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Hallsville Medical Clinic PLLC was last updated on October 12, 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.
# Hallsville Medical Clinic Pllc · NPI 1295406775
General Practice organization in Hallsville, Texas. Organization record, active in the CMS NPPES registry since September 23, 2021.
## Identity
- **NPI:** 1295406775 (Entity type: Organization)
- **Enumerated:** September 23, 2021
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Jean Yates-Halbert, PARTNER
## Practice location
- **Address:** 209 W MAIN ST SUITE D, Hallsville, TX 75650
- **Phone:** (903) 668-7462 · **Fax:** (903) 668-7400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (1), Pediatric Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295406775) · Data from the CMS NPPES public registry.