AVID HEALTHCARE SERVICES PA
NPI 1790248987
Clinic/Center - Health Service in Terrell, TX

Active since April 13, 2019
604 N ROCKWALL AVE, TERRELL, TX 75160(972) 522-8524 Get Directions Write a Review

NPPES record last updated: April 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avid Healthcare Services Pa NPPES

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

AVID HEALTHCARE SERVICES PA (NPI 1790248987) is a healthcare organization registered as a health service in Terrell, Texas and active in the NPI registry since April 2019. The organization lists David Okumbor, President, as its authorized official.

NPPES Registry Identity

NPI1790248987
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameAVID HEALTHCARE SERVICES PA
Location Address604 N ROCKWALL AVETerrell, TX 75160-2117
Mailing Address18 Kestrel CtHeath, TX 75032-2043 · (214) 675-3859
Organization SubpartNo
Authorized OfficialDavid OkumborPresident · (214) 675-3859
Enumeration DateApril 13, 2019
✔ NPI 1790248987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
604 N ROCKWALL AVE, Terrell, TX 75160

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avid Healthcare Services Pa 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 Avid Healthcare Services PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1164616199
604 N ROCKWALL AVE
Terrell, TX 75160
(972) 522-8524
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Avid Healthcare Services PA's NPI number?

The NPI number for Avid Healthcare Services PA is 1790248987. It was assigned to this organization in the NPPES registry on April 13, 2019.

Where is Avid Healthcare Services PA located?

Avid Healthcare Services PA is located at 604 N Rockwall Ave, Terrell, TX 75160. The listed phone number is (972) 522-8524.

What is Avid Healthcare Services PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Avid Healthcare Services PA enrolled in Medicare?

Yes. Avid Healthcare Services PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avid Healthcare Services PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Avid Healthcare Services PA. 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.

When was this NPI record last updated?

The NPPES record for Avid Healthcare Services PA was last updated on April 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.