ST MARYS FAMILY CLINIC PLLC
NPI 1619697877
Clinic/Center in Carrollton, TX
About St Marys Family Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST MARYS FAMILY CLINIC PLLC (NPI 1619697877) is a healthcare organization registered as a clinic/center in Carrollton, Texas and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Remi Thomas, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St Marys Family Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to St Marys Family Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 45D2276611
St Mary's Family Clinic, PLLC · 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 St Marys Family Clinic PLLC's NPI number?
The NPI number for St Marys Family Clinic PLLC is 1619697877. It was assigned to this organization in the NPPES registry on August 29, 2022.
Where is St Marys Family Clinic PLLC located?
St Marys Family Clinic PLLC is located at 3730 N Josey Ln Ste 120, Carrollton, TX 75007. The listed phone number is (972) 999-3593.
What is St Marys Family Clinic PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is St Marys Family Clinic PLLC enrolled in Medicare?
Yes. St Marys Family Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Marys Family Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to St Marys Family Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Marys Family Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2276611) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for St Marys Family Clinic PLLC was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# St Marys Family Clinic Pllc · NPI 1619697877
Clinic/Center organization in Carrollton, Texas. Organization record, active in the CMS NPPES registry since August 29, 2022.
## Identity
- **NPI:** 1619697877 (Entity type: Organization)
- **Enumerated:** August 29, 2022
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Remi Thomas, OWNER
## Practice location
- **Address:** 3730 N JOSEY LN STE 120, Carrollton, TX 75007-2439
- **Phone:** (972) 999-3593
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619697877) · Data from the CMS NPPES public registry.