DAILEY MEDICAL CLINIC
NPI 1619105442
Family Medicine in Canton, TX

Active since July 01, 2009CLIA 45D0974223 · Waiver
1108 S BUFFALO ST, CANTON, TX 75103(903) 567-1910(903) 567-1940 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2025, Jan 18, 2017, Dec 19, 2016 (3 updates tracked since 2016).

About Dailey Medical Clinic NPPES

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

DAILEY MEDICAL CLINIC (NPI 1619105442) is a healthcare organization registered as a family medicine in Canton, Texas and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Jimmy W Dailey, Owner, as its authorized official.

NPPES Registry Identity

NPI1619105442
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAILEY MEDICAL CLINIC
Location Address1108 S BUFFALO STCanton, TX 75103-2304
Mailing AddressPo Box 788Canton, TX 75103-0788 · (903) 567-1910 · Fax (903) 567-1940
Fax(903) 567-1940
Organization SubpartNo
Authorized OfficialJimmy W DaileyOwner · (903) 567-1910
Enumeration DateJuly 1, 2009
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1619105442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K3567
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.
1108 S BUFFALO ST, Canton, TX 75103

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Dailey Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dailey Medical Clinic, 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 (4)

Family Practice
NPI 1073598199
1108 S BUFFALO ST
Canton, TX 75103
(903) 567-1910
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1750306536
1108 SO. BUFFALO STREET
Canton, TX 75103
(903) 567-1910
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124595087
1108 SO. BUFFALO ST
Canton, TX 75103
(903) 567-1910
✔ PECOS0.7 mi
Family Practice
NPI 1407822299
602 TITUS ST STE 130
Gilmer, TX 75644
(903) 758-2610
✔ PECOS✔ Accepts Medicare55 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 45D0974223

Dailey Medical Clinic · Canton, TX
Active · expires Apr 18, 2028
CLIA Number45D0974223
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorJimmy W. Dailey
Laboratory Phone(903) 567-1910
Laboratory LocationDailey Medical Clinic1108 South Buffalo, Canton, TX 75103
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 Dailey Medical Clinic's NPI number?

The NPI number for Dailey Medical Clinic is 1619105442. It was assigned to this organization in the NPPES registry on July 1, 2009.

Where is Dailey Medical Clinic located?

Dailey Medical Clinic is located at 1108 S Buffalo St, Canton, TX 75103. The listed phone number is (903) 567-1910.

What is Dailey Medical Clinic's specialty?

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

Is Dailey Medical Clinic enrolled in Medicare?

Yes. Dailey Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dailey Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dailey Medical Clinic, in Family Practice, General 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 Dailey Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0974223) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dailey Medical Clinic accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Dailey Medical 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 Dailey Medical Clinic was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.