FAIRWAY FAMILY MEDICINE-PRIMARY CARE, PLLC
NPI 1508115718
Clinic/Center - Primary Care in Carrollton, TX
About Fairway Family Medicine-primary Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRWAY FAMILY MEDICINE-PRIMARY CARE, PLLC (NPI 1508115718) is a healthcare organization registered as a primary care in Carrollton, Texas and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Hong Xiao, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fairway Family Medicine-primary Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fairway Family Medicine-Primary Care, PLLC, which bills Medicare for the services they deliver. Of these, 2 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 45D2045268
Fairway Family Medicine · Carrollton, 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 Fairway Family Medicine-Primary Care, PLLC's NPI number?
The NPI number for Fairway Family Medicine-Primary Care, PLLC is 1508115718. It was assigned to this organization in the NPPES registry on September 4, 2012.
Where is Fairway Family Medicine-Primary Care, PLLC located?
Fairway Family Medicine-Primary Care, PLLC is located at 4100 Fairway Dr 320, Carrollton, TX 75010. The listed phone number is (972) 236-7608.
What is Fairway Family Medicine-Primary Care, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Fairway Family Medicine-Primary Care, PLLC enrolled in Medicare?
Yes. Fairway Family Medicine-Primary Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairway Family Medicine-Primary Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Fairway Family Medicine-Primary Care, 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fairway Family Medicine-Primary Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2045268) is associated with this NPI, valid through August 8, 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 Fairway Family Medicine-Primary Care, PLLC was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Fairway Family Medicine-Primary Care, Pllc · NPI 1508115718
Primary Care organization in Carrollton, Texas. Organization record, active in the CMS NPPES registry since September 4, 2012.
## Identity
- **NPI:** 1508115718 (Entity type: Organization)
- **Enumerated:** September 4, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Hong Xiao, MEDICAL DIRECTOR
## Practice location
- **Address:** 4100 FAIRWAY DR, 320, Carrollton, TX 75010-6525
- **Phone:** (972) 236-7608
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2012
- **Other identifiers:** Medicare PIN 8413B6 (TX); Medicare UPIN H53974 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508115718) · Data from the CMS NPPES public registry.