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FAMILY HEALTHCARE AFFILIATES PLLC
NPI 1366497364
Family Medicine in Conroe, TX

Active since May 24, 2006CLIA 45D0889628 · Microscopy
800 RIVERWOOD CT, SUITE 105, CONROE, TX 77304(936) 760-4454(936) 760-4415 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Healthcare Affiliates Pllc NPPES

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

FAMILY HEALTHCARE AFFILIATES PLLC (NPI 1366497364) is a healthcare organization registered as a family medicine in Conroe, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through August 1, 2028 and lists Krystal Urban, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366497364
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY HEALTHCARE AFFILIATES PLLC
Location Address800 RIVERWOOD CT, SUITE 105Conroe, TX 77304-2890
Mailing Address800 Riverwood Ct, Suite 105Conroe, TX 77304-2890 · (936) 760-4454 · Fax (936) 760-4415
Phone(936) 760-4454
Fax(936) 760-4415
Organization SubpartNo
Authorized OfficialKrystal UrbanOffice Manager · (936) 760-4454
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 19, 2010
✔ NPI 1366497364 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.
800 RIVERWOOD CT, Conroe, TX 77304
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Other Identifiers 3

Medicare ID-Type Unspecified00994TTX
Other0088HZTX · Bcbs
Medicaid157678701TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Healthcare Affiliates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Healthcare Affiliates PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Maribeth Moore, D.O.
Family Practice
NPI 1376530758
800 RIVERWOOD CT SUITE 105
Conroe, TX 77304
(936) 760-4454
✔ PECOS✔ Accepts MedicareSame address
Kara Kern, M.D.
Family Practice
NPI 1811984321
800 RIVERWOOD CT SUITE 105
Conroe, TX 77304
(936) 760-4454
✔ PECOS✔ Accepts MedicareSame address
Ashley Cox
Nurse Practitioner
NPI 1023648037
800 RIVERWOOD CT STE 105
Conroe, TX 77304
(936) 760-4454
✔ PECOS0.1 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 45D0889628

Family Healthcare Affiliates PLLC · Conroe, TX
Active · expires Aug 1, 2028
CLIA Number45D0889628
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2026
Certificate Expiration DateAugust 1, 2028
Laboratory DirectorMaribeth D. Moore Do
Laboratory Phone(936) 760-4454
Laboratory LocationFamily Healthcare Affiliates PLLC800 Riverwood Court Suite 105, Conroe, TX 77304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Family Healthcare Affiliates PLLC's NPI number?

The NPI number for Family Healthcare Affiliates PLLC is 1366497364. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Family Healthcare Affiliates PLLC located?

Family Healthcare Affiliates PLLC is located at 800 Riverwood Ct Suite 105, Conroe, TX 77304. The listed phone number is (936) 760-4454.

What is Family Healthcare Affiliates PLLC's specialty?

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

Is Family Healthcare Affiliates PLLC enrolled in Medicare?

Yes. Family Healthcare Affiliates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Healthcare Affiliates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Healthcare Affiliates PLLC, in Family Practice and Nurse Practitioner. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Healthcare Affiliates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0889628) is associated with this NPI, valid through August 1, 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 Family Healthcare Affiliates PLLC was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.