SUPRACARE FAMILY HEALTH PLLC
NPI 1801234596
Clinic/Center - Primary Care in New Boston, TX

Active since June 05, 2013CLIA 45D2060581 · Waiver
310 E HOSKINS ST, NEW BOSTON, TX 75570(903) 628-7877(903) 628-7631 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Supracare Family Health Pllc NPPES

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

SUPRACARE FAMILY HEALTH PLLC (NPI 1801234596) is a healthcare organization registered as a primary care in New Boston, Texas and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Trey W Pirkey, Owner, as its authorized official.

NPPES Registry Identity

NPI1801234596
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUPRACARE FAMILY HEALTH PLLC
Location Address310 E HOSKINS STNew Boston, TX 75570-2727
Mailing Address310 E Hoskins StNew Boston, TX 75570-2727 · (903) 628-7877 · Fax (903) 628-7631
Fax(903) 628-7631
Organization SubpartNo
Authorized OfficialTrey W PirkeyOwner · (903) 628-7877
Enumeration DateJune 5, 2013
Last NPPES UpdateJuly 22, 2013
✔ NPI 1801234596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
310 E HOSKINS ST, New Boston, TX 75570

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supracare Family Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Supracare Family Health PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1790210219
310 E HOSKINS ST
New Boston, TX 75570
(903) 628-7877
✔ PECOSSame address
Nurse Practitioner
NPI 1457553422
310 E HOSKINS ST
New Boston, TX 75570
(903) 628-7877
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1376588210
2600 SAINT MICHAEL DR
Texarkana, TX 75503
(903) 614-1000
✔ PECOS19 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 45D2060581

Supracare Family Health Clinic PLLC · New Boston, TX
Active · expires Jun 12, 2027
CLIA Number45D2060581
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorTrey Pirkey
Laboratory Phone(903) 244-2254
Laboratory LocationSupracare Family Health Clinic PLLC310 E Hoskins St, New Boston, TX 75570
CLIA data matches this NPI record on: Address Name
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 Supracare Family Health PLLC's NPI number?

The NPI number for Supracare Family Health PLLC is 1801234596. It was assigned to this organization in the NPPES registry on June 5, 2013.

Where is Supracare Family Health PLLC located?

Supracare Family Health PLLC is located at 310 E Hoskins St, New Boston, TX 75570. The listed phone number is (903) 628-7877.

What is Supracare Family Health PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Supracare Family Health PLLC enrolled in Medicare?

Yes. Supracare Family Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Supracare Family Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Supracare Family Health PLLC, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Supracare Family Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2060581) is associated with this NPI, valid through June 12, 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 Supracare Family Health PLLC was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.