PVC FAMILY PRACTICE
NPI 1720468390
Nurse Practitioner - Family in Garland, TX
About Pvc Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PVC FAMILY PRACTICE (NPI 1720468390) is a healthcare organization registered as a family in Garland, Texas and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Zainabu Koroma, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Pvc Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Pvc Family Practice, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 45D2125162
Primary Visiting Clinicians, PLLC Dba Pcv Family Practice · Garland, 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 Primary Visiting Clinicians PLLC's NPI number?
The NPI number for Primary Visiting Clinicians PLLC is 1720468390. It was assigned to this organization in the NPPES registry on June 9, 2015. The provider is doing business as Pvc Family Practice.
Where is Primary Visiting Clinicians PLLC located?
Primary Visiting Clinicians PLLC is located at 3334 Broadway Blvd Ste 422, Garland, TX 75043. The listed phone number is (972) 979-7408.
What is Primary Visiting Clinicians PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Primary Visiting Clinicians PLLC enrolled in Medicare?
Yes. Primary Visiting Clinicians PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Visiting Clinicians PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Primary Visiting Clinicians 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 (5), Family Practice (1) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Visiting Clinicians PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2125162) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Primary Visiting Clinicians PLLC accept?
Health plans from Molina Healthcare and WellPoint list Primary Visiting Clinicians PLLC 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 Primary Visiting Clinicians PLLC was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Pvc Family Practice · NPI 1720468390
Family organization in Garland, Texas. Organization record, active in the CMS NPPES registry since June 9, 2015.
## Identity
- **NPI:** 1720468390 (Entity type: Organization)
- **Enumerated:** June 9, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Primary Visiting Clinicians Pllc
- **Organization subpart:** No
- **Authorized official:** Zainabu Koroma, ADMINISTRATOR
## Practice location
- **Address:** 3334 BROADWAY BLVD STE 422, Garland, TX 75043-1575
- **Phone:** (972) 979-7408 · **Fax:** (972) 587-6733
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720468390) · Data from the CMS NPPES public registry.