CHRISTUS ST MICHAEL ATLANTA WOUND CARE CENTER
NPI 1871916650
General Practice in Atlanta, TX
About Christus St Michael Atlanta Wound Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTUS ST MICHAEL ATLANTA WOUND CARE CENTER (NPI 1871916650) is a healthcare organization registered as a general practice in Atlanta, Texas and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Jason Matthew Adams, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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)
Christus St Michael Atlanta Wound Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
75Medicare enrollment records show 75 clinicians reassign Medicare billing to Christus St Michael Atlanta Wound Care Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 75Source: 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 45D2111584
Christus St Michael Outpatient Wound Care Clinic · Texarkana, 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 Christus Health Ark-La-Tex's NPI number?
The NPI number for Christus Health Ark-La-Tex is 1871916650. It was assigned to this organization in the NPPES registry on January 29, 2014. The provider is doing business as Christus St Michael Atlanta Wound Care Center.
Where is Christus Health Ark-La-Tex located?
Christus Health Ark-La-Tex is located at 1007 S William St, Atlanta, TX 75551. The listed phone number is (903) 614-4200.
What is Christus Health Ark-La-Tex's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Christus Health Ark-La-Tex enrolled in Medicare?
Yes. Christus Health Ark-La-Tex is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Christus Health Ark-La-Tex?
According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 8 Medicare specialties reassign their Medicare billing to Christus Health Ark-La-Tex. 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) (52), Diagnostic Radiology (7) and Interventional Radiology (7). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Christus Health Ark-La-Tex hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2111584) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Christus Health Ark-La-Tex was last updated on October 5, 2023. 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.
# Christus St Michael Atlanta Wound Care Center · NPI 1871916650
General Practice organization in Atlanta, Texas. Organization record, active in the CMS NPPES registry since January 29, 2014.
## Identity
- **NPI:** 1871916650 (Entity type: Organization)
- **Enumerated:** January 29, 2014
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Christus Health Ark-La-Tex
- **Organization subpart:** No
- **Authorized official:** Jason Adams, PRESIDENT
## Practice location
- **Address:** 1007 S WILLIAM ST, Atlanta, TX 75551-3245
- **Phone:** (903) 614-4200 · **Fax:** (903) 614-4244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 75 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (52), Diagnostic Radiology (7), Interventional Radiology (7); [full list](https://npiprofile.com/npi/1871916650/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871916650) · Data from the CMS NPPES public registry.