MARSHALL FAMILY PRACTICE ASSOCIATES PLLC
NPI 1528070414
Preferred Provider Organization in Marshall, TX

Active since August 12, 2006CLIA 45D2146439 · Waiver
402 S BOLIVAR ST, MARSHALL, TX 75670(903) 935-9100(903) 935-9102 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marshall Family Practice Associates Pllc NPPES

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

MARSHALL FAMILY PRACTICE ASSOCIATES PLLC (NPI 1528070414) is a healthcare organization registered as a preferred provider organization in Marshall, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Tolesia Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1528070414
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMARSHALL FAMILY PRACTICE ASSOCIATES PLLC
Location Address402 S BOLIVAR STMarshall, TX 75670-4110
Mailing Address402 S Bolivar StMarshall, TX 75670-4110 · (903) 935-9100 · Fax (903) 935-9102
Fax(903) 935-9102
Organization SubpartNo
Authorized OfficialTolesia SmithOffice Manager · (903) 935-9110
Enumeration DateAugust 12, 2006
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1528070414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
402 S BOLIVAR ST, Marshall, TX 75670

Other Identifiers 1

Medicare PIN00W843

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marshall Family Practice Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Marshall Family Practice Associates 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 (6)

Family Practice
NPI 1740260140
402 S BOLIVAR ST
Marshall, TX 75670
(903) 935-9100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609856632
402 S BOLIVAR ST
Marshall, TX 75670
(903) 935-9100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306799804
402 S BOLIVAR ST
Marshall, TX 75670
(903) 935-9100
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1891492310
1207A E MARSHALL AVE
Longview, TX 75601
(903) 907-7003
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1689176885
2019A S HENDERSON BLVD STE 2
Kilgore, TX 75662
(903) 483-7707
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1063772515
1109 COLLEGE DR
Texarkana, TX 75503
(903) 225-9123
✔ PECOS✔ Accepts Medicare65 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 of Waiver 45D2146439

Marshall Family Practice · Marshall, TX
Active · expires Mar 28, 2028
CLIA Number45D2146439
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorOdette Mohamed-Santa
Laboratory Phone(903) 935-9100
Laboratory LocationMarshall Family Practice402 S Bolivar, Marshall, TX 75670
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 Marshall Family Practice Associates PLLC's NPI number?

The NPI number for Marshall Family Practice Associates PLLC is 1528070414. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Marshall Family Practice Associates PLLC located?

Marshall Family Practice Associates PLLC is located at 402 S Bolivar St, Marshall, TX 75670. The listed phone number is (903) 935-9100.

What is Marshall Family Practice Associates PLLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Marshall Family Practice Associates PLLC enrolled in Medicare?

Yes. Marshall Family Practice Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marshall Family Practice Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Marshall Family Practice Associates 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 (4) and Family Practice (2). 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 Marshall Family Practice Associates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2146439) is associated with this NPI, valid through March 28, 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 Marshall Family Practice Associates PLLC was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.