UT EAST TEXAS URGENT CARE CENTERS, PLLC
NPI 1356974281
Clinic/Center - Urgent Care in Canton, TX

Active since February 19, 2020
301 E STATE HIGHWAY 243 STE 121, CANTON, TX 75103(903) 567-4692 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 9, 2024, Jan 24, 2023, Jul 26, 2021 and 3 more (6 updates tracked since 2020).

About Ut East Texas Urgent Care Centers, Pllc NPPES

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

UT EAST TEXAS URGENT CARE CENTERS, PLLC (NPI 1356974281) is a healthcare organization registered as an urgent care in Canton, Texas and active in the NPI registry since February 2020. The organization lists Stephen C. Petrovich, Evp, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1356974281
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameUT EAST TEXAS URGENT CARE CENTERS, PLLC
Location Address301 E STATE HIGHWAY 243 STE 121Canton, TX 75103-2418
Mailing Address340 Seven Springs Way Ste 100Brentwood, TN 37027-5697 · (615) 296-3594
Organization SubpartNo
Authorized OfficialStephen C. PetrovichEvp, General Counsel · (615) 296-3594
Enumeration DateFebruary 19, 2020
Last NPPES UpdateOctober 22, 20246 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1356974281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
301 E STATE HIGHWAY 243 STE 121, Canton, TX 75103

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)

Ut East Texas Urgent Care Centers, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

42

Medicare enrollment records show 42 clinicians reassign Medicare billing to Ut East Texas Urgent Care Centers, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner34
Family Practice5
Internal Medicine2
Emergency Medicine1

Nearest to this location (20)

See all 42
Nurse Practitioner
NPI 1952109217
301 E STATE HIGHWAY 243 STE 121
Canton, TX 75103
(903) 567-4692
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215423397
301 E STATE HIGHWAY 243 STE 121
Canton, TX 75103
(903) 567-4692
✔ PECOSSame address
Nurse Practitioner
NPI 1750041950
406 E STATE HIGHWAY 243
Canton, TX 75103
(903) 567-4784
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1265095202
4437 ETHERIDE CIRCLE
Canton, TX 75103
(903) 288-5301
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1043608540
18780 IH-20
Canton, TX 75103
(903) 567-4841
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1801806526
3203 S MAIN ST
Lindale, TX 75771
(903) 882-0991
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1912570524
3943 OLD JACKSONVILLE RD
Tyler, TX 75701
(903) 593-1212
✔ PECOS35 mi
Nurse Practitioner
NPI 1790176287
2115 S BROADWAY AVE
Tyler, TX 75701
(903) 907-7002
✔ PECOS✔ Accepts Medicare36 mi
Internal Medicine
NPI 1396310777
1000 S BECKHAM AVE
Tyler, TX 75701
(903) 590-5611
✔ PECOS✔ Accepts Medicare36 mi
Internal Medicine
NPI 1184656555
1100 S BECKHAM AVE
Tyler, TX 75701
(903) 596-3500
✔ PECOS36 mi
Nurse Practitioner
NPI 1871189464
1000 E 5TH ST STE 400
Tyler, TX 75701
(903) 596-3500
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1659548402
5414 S BROADWAY AVE
Tyler, TX 75703
(903) 581-1601
✔ PECOS✔ Accepts Medicare37 mi
Family Practice
NPI 1538549175
11937 US HIGHWAY 271
Tyler, TX 75708
(903) 877-7200
✔ PECOS✔ Accepts Medicare39 mi
Family Practice
NPI 1326018797
2804 FM 2137 N
Bullard, TX 75757
(903) 714-1704
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1346632239
212 AERONCA DR
Fate, TX 75087
(469) 333-5056
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1245419001
125 E MAIN ST
Bullard, TX 75757
(903) 339-0887
✔ PECOS✔ Accepts Medicare42 mi
Family Practice
NPI 1043846090
435 DOCTOR M ROPER PKWY N
Bullard, TX 75757
(903) 894-3991
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1457809709
105 MEDICAL PLZ
Sulphur Springs, TX 75482
(903) 885-3181
✔ PECOS✔ Accepts Medicare45 mi
Family Practice
NPI 1881887057
6124 W PARKER RD SUITE 534, MOB 3
Plano, TX 75093
(972) 378-5250
✔ PECOS✔ Accepts Medicare66 mi
Emergency Medicine
NPI 1053464610
1600 US HIGHWAY 79 S
Henderson, TX 75654
(903) 717-3260
✔ PECOS✔ Accepts Medicare68 mi
See all 42 clinicians

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 45D2195079

Ut East Texas Urgent Care Centers PLLC · Canton, TX
Expired · Oct 5, 2026
CLIA Number45D2195079
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorStephen Rydzak
Laboratory Phone(903) 567-4692
Laboratory LocationUt East Texas Urgent Care Centers PLLC301 E State Hwy 243, Ste 121, Canton, TX 75103
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 Ut East Texas Urgent Care Centers, PLLC's NPI number?

The NPI number for Ut East Texas Urgent Care Centers, PLLC is 1356974281. It was assigned to this organization in the NPPES registry on February 19, 2020.

Where is Ut East Texas Urgent Care Centers, PLLC located?

Ut East Texas Urgent Care Centers, PLLC is located at 301 E State Highway 243 Ste 121, Canton, TX 75103. The listed phone number is (903) 567-4692.

What is Ut East Texas Urgent Care Centers, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Ut East Texas Urgent Care Centers, PLLC enrolled in Medicare?

Yes. Ut East Texas Urgent Care Centers, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ut East Texas Urgent Care Centers, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 4 Medicare specialties reassign their Medicare billing to Ut East Texas Urgent Care Centers, 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 (34), Family Practice (5) and Internal Medicine (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ut East Texas Urgent Care Centers, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ut East Texas Urgent Care Centers, 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 Ut East Texas Urgent Care Centers, PLLC was last updated on October 22, 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.