PRIMARY CARE DOCTORS OF NORTH TEXAS PLLC
NPI 1760147490
Family Medicine in Grand Prairie, TX

Active since November 08, 2021CLIA Certified · 2 labs
4927 LAKE RIDGE PKWY STE 148, GRAND PRAIRIE, TX 75052(972) 217-4203(833) 784-1531 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Nov 8, 2021 (2 updates tracked since 2021).

About Primary Care Doctors Of North Texas Pllc NPPES

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

PRIMARY CARE DOCTORS OF NORTH TEXAS PLLC (NPI 1760147490) is a healthcare organization registered as a family medicine in Grand Prairie, Texas and active in the NPI registry since November 2021. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Mansfield, and lists Chaitanya Chavda, Manager, as its authorized official.

NPPES Registry Identity

NPI1760147490
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE DOCTORS OF NORTH TEXAS PLLC
Location Address4927 LAKE RIDGE PKWY STE 148Grand Prairie, TX 75052-3000
Mailing Address4927 Lake Ridge Pkwy Ste 148Grand Prairie, TX 75052-3000 · (972) 217-4203 · Fax (833) 784-1531
Fax(833) 784-1531
Organization SubpartNo
Authorized OfficialChaitanya ChavdaManager · (313) 505-2932
Enumeration DateNovember 8, 2021
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1760147490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
4927 LAKE RIDGE PKWY STE 148, Grand Prairie, TX 75052

Secondary Practice Location 1

Location 1221 Regency Pkwy Ste 125Mansfield, TX 76063-5379 · Phone (817) 634-7670 · Fax (833) 784-1531

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primary Care Doctors Of North Texas Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Primary Care Doctors Of North Texas PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1063230464
4927 LAKE RIDGE PKWY STE 148
Grand Prairie, TX 75052
(972) 217-4203
✔ PECOSSame address
Nurse Practitioner
NPI 1275496580
4927 LAKE RIDGE PKWY STE 148
Grand Prairie, TX 75052
(972) 960-3713
✔ PECOSSame address
Nurse Practitioner
NPI 1104507391
4927 LAKE RIDGE PKWY STE 148
Grand Prairie, TX 75052
(972) 217-4203
✔ PECOSSame address
Nurse Practitioner
NPI 1194544767
4927 LAKE RIDGE PKWY STE 148
Grand Prairie, TX 75052
(972) 960-3713
✔ PECOSSame address
Family Practice
NPI 1699958579
221 REGENCY PKWY SUITE 125
Mansfield, TX 76063
(817) 477-5884
✔ PECOS✔ Accepts Medicare7.2 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 2

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 45D2245096

Primary Care Doctors Of North Texas, PLLC · Grand Prairie, TX
Active · expires Dec 7, 2027
CLIA Number45D2245096
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorChirag Chavda
Laboratory Phone(972) 217-4203
Laboratory LocationPrimary Care Doctors Of North Texas, PLLC4927 Lake Ridge Pkwy, Grand Prairie, TX 75052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2320842

Primary Care Doctors Of North Texas PLLC · Mansfield, TX
Active · expires Mar 24, 2027
CLIA Number45D2320842
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorPannaben Nangha
Laboratory Phone(817) 634-7670
Laboratory LocationPrimary Care Doctors Of North Texas PLLC221 Regency Pkwy Ste 125, Mansfield, TX 76063
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 Primary Care Doctors Of North Texas PLLC's NPI number?

The NPI number for Primary Care Doctors Of North Texas PLLC is 1760147490. It was assigned to this organization in the NPPES registry on November 8, 2021.

Where is Primary Care Doctors Of North Texas PLLC located?

Primary Care Doctors Of North Texas PLLC is located at 4927 Lake Ridge Pkwy Ste 148, Grand Prairie, TX 75052. The listed phone number is (972) 217-4203.

What is Primary Care Doctors Of North Texas PLLC's specialty?

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

Is Primary Care Doctors Of North Texas PLLC enrolled in Medicare?

Yes. Primary Care Doctors Of North Texas PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Doctors Of North Texas PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Primary Care Doctors Of North Texas 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 (4) and Family Practice (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Care Doctors Of North Texas PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Primary Care Doctors Of North Texas PLLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.