SWEETWATER FAMILY CLINIC, LLC
NPI 1720847403
Nurse Practitioner - Family in Sweetwater, TX
About Sweetwater Family Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SWEETWATER FAMILY CLINIC, LLC (NPI 1720847403) is a healthcare organization registered as a family in Sweetwater, Texas and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Kobie Benham, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Sweetwater Family Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Sweetwater Family Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 45D2300017
Sweetwater Family Clinic · Sweetwater, 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 Sweetwater Family Clinic, LLC's NPI number?
The NPI number for Sweetwater Family Clinic, LLC is 1720847403. It was assigned to this organization in the NPPES registry on March 15, 2024.
Where is Sweetwater Family Clinic, LLC located?
Sweetwater Family Clinic, LLC is located at 601 E 1st St, Sweetwater, TX 79556. The listed phone number is (325) 335-1444.
What is Sweetwater Family Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sweetwater Family Clinic, LLC enrolled in Medicare?
Yes. Sweetwater Family Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sweetwater Family Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Sweetwater Family Clinic, LLC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sweetwater Family Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2300017) is associated with this NPI, valid through February 29, 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 Sweetwater Family Clinic, LLC was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Sweetwater Family Clinic, Llc · NPI 1720847403
Family organization in Sweetwater, Texas. Organization record, active in the CMS NPPES registry since March 15, 2024.
## Identity
- **NPI:** 1720847403 (Entity type: Organization)
- **Enumerated:** March 15, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kobie Benham, OWNER
## Practice location
- **Address:** 601 E 1ST ST, Sweetwater, TX 79556-4654
- **Phone:** (325) 335-1444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720847403) · Data from the CMS NPPES public registry.