CREEK STONE INTEGRATED MEDICAL PLLC
NPI 1487222683
General Practice in Amarillo, TX
About Creek Stone Integrated Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREEK STONE INTEGRATED MEDICAL PLLC (NPI 1487222683) is a healthcare organization registered as a general practice in Amarillo, Texas and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Jeffery Williams, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Creek Stone Integrated Medical 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 Creek Stone Integrated Medical PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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 45D2232413
Creek Stone Integrated Medical · Amarillo, 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 Creek Stone Integrated Medical PLLC's NPI number?
The NPI number for Creek Stone Integrated Medical PLLC is 1487222683. It was assigned to this organization in the NPPES registry on June 14, 2021.
Where is Creek Stone Integrated Medical PLLC located?
Creek Stone Integrated Medical PLLC is located at 3501 SW 45th Ave Ste T, Amarillo, TX 79109. The listed phone number is (806) 355-3000.
What is Creek Stone Integrated Medical PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Creek Stone Integrated Medical PLLC enrolled in Medicare?
Yes. Creek Stone Integrated Medical PLLC is registered in the Medicare PECOS enrollment system.
When is Creek Stone Integrated Medical 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 Creek Stone Integrated Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Creek Stone Integrated Medical 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Creek Stone Integrated Medical PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2232413) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Creek Stone Integrated Medical PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Creek Stone Integrated Medical 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 Creek Stone Integrated Medical PLLC was last updated on June 14, 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.
# Creek Stone Integrated Medical Pllc · NPI 1487222683
General Practice organization in Amarillo, Texas. Organization record, active in the CMS NPPES registry since June 14, 2021.
## Identity
- **NPI:** 1487222683 (Entity type: Organization)
- **Enumerated:** June 14, 2021
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Jeffery Williams, OWNER
## Practice location
- **Address:** 3501 SW 45TH AVE STE T, Amarillo, TX 79109-5676
- **Phone:** (806) 355-3000 · **Fax:** (806) 418-2305
## 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 (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2021
- **Other identifiers:** Other 1871591909
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1487222683) · Data from the CMS NPPES public registry.