HERITAGE PARKWAY MEDICAL PLLC
NPI 1770140550
Family Medicine in Sherman, TX

Active since May 28, 2019CLIA 45D2167651 · Waiver
3415 NORTH HERITAGE PARKWAY, SHERMAN, TX 75092(903) 308-4336(214) 305-9078 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Feb 3, 2026, Jan 5, 2024 and 1 more (4 updates tracked since 2019).

About Heritage Parkway Medical Pllc NPPES

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

HERITAGE PARKWAY MEDICAL PLLC (NPI 1770140550), doing business as Diverse Care, is a healthcare organization registered as a family medicine in Sherman, Texas and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through June 11, 2027, maintains 2 additional practice locations, and lists Nidish Jose, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770140550
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHERITAGE PARKWAY MEDICAL PLLC
Location Address3415 NORTH HERITAGE PARKWAYSherman, TX 75092-6634
Mailing Address2410 Luna Rd Ste 202Carrollton, TX 75006-6538 · (903) 308-4336 · Fax (903) 771-4541
Fax(214) 305-9078
Organization SubpartNo
Authorized OfficialNidish JoseCeo · (903) 308-4336
Enumeration DateMay 28, 2019
Last NPPES UpdateJuly 8, 20264 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1770140550 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.
3415 NORTH HERITAGE PARKWAY, Sherman, TX 75092

Other Names 1

Doing Business AsDiverse Care

Secondary Practice Locations 2

Location 12709 Cimarron Blvd Ste 100Corpus Christi, TX 78414-3431 · Phone (361) 208-7276 · Fax (214) 305-9078
Location 22410 Luna Rd Ste 202Carrollton, TX 75006-6538 · Phone (214) 592-1854 · Fax (214) 305-9078

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

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)

Heritage Parkway Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Heritage Parkway Medical PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1104348903
3415 NORTH HERITAGE PARKWAY
Sherman, TX 75092
(903) 308-4336
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053127902
3415 NORTH HERITAGE PARKWAY
Sherman, TX 75092
(903) 308-4336
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912013988
300 N HIGHLAND AVE STE 455
Sherman, TX 75092
(903) 871-5671
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1265868343
508 GLEN COVE CT
Mansfield, TX 76063
(817) 344-0004
✔ PECOS80 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

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 45D2167651

Heritage Parkway Medical, PLLC · Sherman, TX
Active · expires Jun 11, 2027
CLIA Number45D2167651
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorAmy Harrell
Laboratory Phone(903) 308-4336
Laboratory LocationHeritage Parkway Medical, PLLC3415 N Heritage Parkway, Sherman, TX 75092
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 Heritage Parkway Medical PLLC's NPI number?

The NPI number for Heritage Parkway Medical PLLC is 1770140550. It was assigned to this organization in the NPPES registry on May 28, 2019. The provider is doing business as Diverse Care.

Where is Heritage Parkway Medical PLLC located?

Heritage Parkway Medical PLLC is located at 3415 North Heritage Parkway, Sherman, TX 75092. The listed phone number is (903) 308-4336.

What is Heritage Parkway Medical PLLC's specialty?

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

Is Heritage Parkway Medical PLLC enrolled in Medicare?

Yes. Heritage Parkway Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heritage Parkway Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Heritage Parkway Medical 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Heritage Parkway Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2167651) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heritage Parkway Medical PLLC accept?

Health plans from Molina Healthcare and WellPoint list Heritage Parkway Medical 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 Heritage Parkway Medical PLLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.