QUITMAN HOSPITAL LLC
NPI 1861109654
Clinic/Center - Rural Health in Winnsboro, TX

Active since November 01, 2022CLIA 45D2273170 · Waiver
600 E COKE RD, WINNSBORO, TX 75494(615) 296-3594 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Quitman Hospital Llc NPPES

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

QUITMAN HOSPITAL LLC (NPI 1861109654) is a healthcare organization registered as a rural health in Winnsboro, Texas and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Stephen C. Petrovich, Evp General Counsel, as its authorized official.

NPPES Registry Identity

NPI1861109654
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameQUITMAN HOSPITAL LLC
Location Address600 E COKE RDWinnsboro, TX 75494-3418
Mailing Address1 Burton Hills Blvd Ste 250Nashville, TN 37215-6195 · (615) 296-3594
Organization SubpartNo
Authorized OfficialStephen C. PetrovichEvp General Counsel · (615) 296-3594
Enumeration DateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1861109654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
600 E COKE RD, Winnsboro, TX 75494

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quitman Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Quitman Hospital LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)10
Family Practice4
Internal Medicine3

Clinicians, nearest first (17)

Internal Medicine
NPI 1154358638
209 E BROADWAY ST
Winnsboro, TX 75494
(903) 342-3355
✔ PECOS0.6 mi
Internal Medicine
NPI 1720280753
209 E BROADWAY ST
Winnsboro, TX 75494
(903) 342-3355
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1629004684
108 PARKER ST STE.300
Quitman, TX 75783
(903) 763-6220
✔ PECOS14 mi
Family Practice
NPI 1487614616
1220 N PACIFIC ST
Mineola, TX 75773
(903) 569-6124
✔ PECOS✔ Accepts Medicare22 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043218548
115 AIRPORT RD
Sulphur Springs, TX 75482
(903) 885-9758
✔ Accepts Medicare23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194281626
2001 N JEFFERSON AVE
Mount Pleasant, TX 75455
(903) 577-6000
✔ Accepts Medicare24 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457323586
800 E DAWSON ST
Tyler, TX 75701
(903) 606-4522
✔ Accepts Medicare42 mi
Family Practice
NPI 1104810779
800 E DAWSON ST
Tyler, TX 75701
(903) 531-5788
✔ PECOS42 mi
Internal Medicine
NPI 1124051073
1000 S BECKHAM AVE
Tyler, TX 75701
(903) 597-0351
✔ PECOS✔ Accepts Medicare42 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619209384
4100 SUMMERHILL RD
Texarkana, TX 75503
(903) 735-9802
✔ Accepts Medicare79 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235137019
4100 SUMMERHILL RD
Texarkana, TX 75503
(903) 735-9802
✔ Accepts Medicare79 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174511141
2900 S LOOP 256
Palestine, TX 75801
(903) 723-2465
✔ Accepts Medicare86 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760524821
6606 LYNDON B JOHNSON FWY STE 200
Dallas, TX 75240
(972) 233-1999
✔ Accepts Medicare87 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003110560
13601 PRESTON RD 1000W
Dallas, TX 75240
(972) 715-5000
✔ Accepts Medicare88 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609013929
1411 N BECKLEY AVE
Dallas, TX 75203
(214) 948-7700
✔ Accepts Medicare90 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235143645
3810 CENTRAL AVE SUITE H
Hot Springs, AR 71913
(501) 525-5840
✔ Accepts Medicare166 mi
Family Practice
NPI 1275844425
7306 SW 34TH AVE STE 4
Amarillo, TX 79121
(806) 350-8850
✔ PECOS✔ Accepts Medicare410 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 45D2273170

Quitman Hospital, LLC · Winnsboro, TX
Active · expires Dec 7, 2026
CLIA Number45D2273170
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorAmanda Ferrer
Laboratory Phone(903) 763-6310
Laboratory LocationQuitman Hospital, LLC600 East Coke Road, Winnsboro, TX 75494
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 Quitman Hospital LLC's NPI number?

The NPI number for Quitman Hospital LLC is 1861109654. It was assigned to this organization in the NPPES registry on November 1, 2022.

Where is Quitman Hospital LLC located?

Quitman Hospital LLC is located at 600 E Coke Rd, Winnsboro, TX 75494. The listed phone number is (615) 296-3594.

What is Quitman Hospital LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Quitman Hospital LLC enrolled in Medicare?

Yes. Quitman Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Quitman Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Quitman Hospital LLC. 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 Certified Registered Nurse Anesthetist (CRNA) (10), Family Practice (4) and Internal Medicine (3). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Quitman Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2273170) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Quitman Hospital LLC was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.