TRINITY SALEM FAMILY HEALTH CLINIC, PLLC
NPI 1760119440
Family Medicine in Waxahachie, TX
About Trinity Salem Family Health Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRINITY SALEM FAMILY HEALTH CLINIC, PLLC (NPI 1760119440) is a healthcare organization registered as a family medicine in Waxahachie, Texas and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Yaminah Matthews, Owner., Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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)
Trinity Salem Family Health 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 Trinity Salem Family Health 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 45D2278833
Trinity Salem Family Health Clinic, PLLC · Waxahachie, 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 Trinity Salem Family Health Clinic PLLC's NPI number?
The NPI number for Trinity Salem Family Health Clinic PLLC is 1760119440. It was assigned to this organization in the NPPES registry on August 3, 2022. The provider is doing business as Trinity Salem Family Health Clinic, PLLC.
Where is Trinity Salem Family Health Clinic PLLC located?
Trinity Salem Family Health Clinic PLLC is located at 1007 Legacy Ranch Rd Ste 102, Waxahachie, TX 75165. The listed phone number is (336) 341-9295.
What is Trinity Salem Family Health Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Trinity Salem Family Health Clinic PLLC enrolled in Medicare?
Yes. Trinity Salem Family Health Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Trinity Salem Family Health Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Trinity Salem Family Health 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 Trinity Salem Family Health Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2278833) is associated with this NPI, valid through March 23, 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 Trinity Salem Family Health Clinic PLLC was last updated on February 24, 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.
# Trinity Salem Family Health Clinic, Pllc · NPI 1760119440
Family Medicine organization in Waxahachie, Texas. Organization record, active in the CMS NPPES registry since August 3, 2022.
## Identity
- **NPI:** 1760119440 (Entity type: Organization)
- **Enumerated:** August 3, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Trinity Salem Family Health Clinic Pllc
- **Organization subpart:** No
- **Authorized official:** Yaminah Matthews, OWNER., AUTHORIZED OFFICIAL
## Practice location
- **Address:** 1007 LEGACY RANCH RD STE 102, Waxahachie, TX 75165-1294
- **Phone:** (336) 341-9295
## 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:** February 24, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760119440) · Data from the CMS NPPES public registry.