FAIRMOUNT FAMILY PRACTICE, PLLC
NPI 1801317722
Clinic/Center - Primary Care in Hemphill, TX
About Fairmount Family Practice, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRMOUNT FAMILY PRACTICE, PLLC (NPI 1801317722) is a healthcare organization registered as a primary care in Hemphill, Texas and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Priscilla Pipes, Credentialing Administration, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Fairmount Family Practice, 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 Fairmount Family Practice, 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 45D2135019
Fairmount Family Practice, PLLC · Hemphill, 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 Fairmount Family Practice, PLLC's NPI number?
The NPI number for Fairmount Family Practice, PLLC is 1801317722. It was assigned to this organization in the NPPES registry on June 30, 2017.
Where is Fairmount Family Practice, PLLC located?
Fairmount Family Practice, PLLC is located at 3732 Fairdale Rd, Hemphill, TX 75948. The listed phone number is (409) 579-2044.
What is Fairmount Family Practice, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Fairmount Family Practice, PLLC enrolled in Medicare?
Yes. Fairmount Family Practice, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairmount Family Practice, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Fairmount Family Practice, 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 Fairmount Family Practice, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2135019) is associated with this NPI, valid through August 13, 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 Fairmount Family Practice, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Fairmount Family Practice, Pllc · NPI 1801317722
Primary Care organization in Hemphill, Texas. Organization record, active in the CMS NPPES registry since June 30, 2017.
## Identity
- **NPI:** 1801317722 (Entity type: Organization)
- **Enumerated:** June 30, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Priscilla Pipes, CREDENTIALING ADMINISTRATION
## Practice location
- **Address:** 3732 FAIRDALE RD, Hemphill, TX 75948
- **Phone:** (409) 579-2044 · **Fax:** (409) 579-2104
## 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:** July 21, 2022
- **Other identifiers:** Other 1922114206 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801317722) · Data from the CMS NPPES public registry.