GENESIS PRIMECARE
NPI 1548745383
Clinic/Center - Federally Qualified Health Center (FQHC) in Texarkana, AR
About Genesis Primecare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENESIS PRIMECARE (NPI 1548745383) is a healthcare organization registered as a federally qualified health center (fqhc) in Texarkana, Arkansas and active in the NPI registry since September 2018. The organization lists Carla Roadcap, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Group Practice 1
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)
Genesis Primecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Genesis Primecare, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 21Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 East Texas Border Health Clinic's NPI number?
The NPI number for East Texas Border Health Clinic is 1548745383. It was assigned to this organization in the NPPES registry on September 27, 2018. The provider is doing business as Genesis Primecare.
Where is East Texas Border Health Clinic located?
East Texas Border Health Clinic is located at 4077 Jefferson Ave, Texarkana, AR 71854. The listed phone number is (903) 614-5270.
What is East Texas Border Health Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is East Texas Border Health Clinic enrolled in Medicare?
Yes. East Texas Border Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Texas Border Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 5 Medicare specialties reassign their Medicare billing to East Texas Border Health Clinic. 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 (10), Mental Health Counselor (6) and Clinical Social Worker (3). Of these, 2 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Texas Border Health Clinic accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list East Texas Border Health Clinic 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 East Texas Border Health Clinic was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Genesis Primecare · NPI 1548745383
Federally Qualified Health Center (FQHC) organization in Texarkana, Arkansas. Organization record, active in the CMS NPPES registry since September 27, 2018.
## Identity
- **NPI:** 1548745383 (Entity type: Organization)
- **Enumerated:** September 27, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** East Texas Border Health Clinic
- **Organization subpart:** Yes (part of East Texas Border Health Clinic)
- **Authorized official:** Carla Roadcap, CEO
## Practice location
- **Address:** 4077 JEFFERSON AVE, Texarkana, AR 71854-1509
- **Phone:** (903) 614-5270
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Mental Health Counselor (6), Clinical Social Worker (3); 2 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1548745383/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548745383) · Data from the CMS NPPES public registry.