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SMSC
NPI 1912902826
Family Medicine in Stephenville, TX

Active since June 16, 2005CLIA Certified · 2 labs
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401(254) 968-6051(254) 968-4950 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Smsc NPPES

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

SMSC (NPI 1912902826) is a healthcare organization registered as a family medicine in Stephenville, Texas and active in the NPI registry since June 2005. The organization holds 2 active CLIA laboratory certificates and lists Janie Mcmillion, Physician Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1912902826
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTEPHENVILLE MEDICAL AND SURGICAL CLINIC PA
Location Address150 RIVER NORTH BLVDStephenville, TX 76401-1803
Mailing Address150 River North BlvdStephenville, TX 76401-1803 · (254) 968-6051 · Fax (254) 968-4950
Phone(254) 968-6051
Fax(254) 968-4950
Organization SubpartNo
Authorized OfficialJanie McmillionPhysician Clinic Administrator · (254) 968-6051
Enumeration DateJune 16, 2005
Last NPPES UpdateNovember 3, 2014
✔ NPI 1912902826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · NA
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License NA (TX)
Also ListedNuclear MedicineTaxonomy 207U00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
150 RIVER NORTH BLVD, Stephenville, TX 76401
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Other Names 1

Doing Business AsSmsc

Other Identifiers 9

Other00E762TX · Group Bcbs Provider Numbe
Other=========003TX · Champus Group Number
Medicaid112052902TX
Medicare PIN00E762TX
Medicare NSC0411240001TX
Other=========003Tricare/champus
OtherCA8089TX · Group Railroad Medicare #
Other0411240001TX · Dme Cigna Government Serv
Medicaid112052901TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 45D0487857

Stephenville Medical & Surgical Clinic · Stephenville, TX
Active · expires Apr 18, 2027
CLIA Number45D0487857
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorJeffery Moore
Laboratory Phone(254) 968-6051
Laboratory LocationStephenville Medical & Surgical Clinic150 River North Blvd, Stephenville, TX 76401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2168093

Stephenville Medical & Surgical Clinic, PA · Stephenville, TX
Active · expires Jun 19, 2027
CLIA Number45D2168093
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorJeffrey Moore
Laboratory Phone(254) 968-6051
Laboratory LocationStephenville Medical & Surgical Clinic, PA160 River North Blvd, Stephenville, TX 76401
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY LYNN KERR M.D.
Family Medicine
150 RIVER NORTH BLVD
STEPHENVILLE, TX 76401
Erath County (254) 968-6051
DR. SREENIVAS GUDIMETLA M.D.
Internal Medicine (Cardiovascular Disease)
150 RIVER NORTH BLVD
STEPHENVILLE, TX 76401
Erath County (254) 968-6051
MS. ANITA BUTLER RD, LD
Nutritionist (Nutrition, Education)
150 RIVER NORTH BLVD
STEPHENVILLE, TX 76401
Erath County (254) 968-6051
DR. JANIE MCMILLION M.D.
Obstetrics & Gynecology
150 RIVER NORTH BLVD
STEPHENVILLE, TX 76401
Erath County (254) 968-6051
EYE CARE CONSULTANTS, PLLC
Ophthalmology
150 RIVER NORTH BLVD, SUITE A
STEPHENVILLE, TX 76401
Erath County (254) 968-6051
DR. KAM IP M.D.
Family Medicine
150 RIVER NORTH BLVD
STEPHENVILLE, TX 76401
Erath County (254) 968-6051
CLAYTON K ROBERTS D.O.
Family Medicine
150 RIVER NORTH BLVD
STEPHENVILLE, TX 76401
Erath County (254) 968-6051
MR. DOROTHY SAXON R.N. G.N.P.
Nurse Practitioner (Gerontology)
150 RIVER NORTH BLVD
STEPHENVILLE, TX 76401
Erath County (254) 968-6051

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 Stephenville Medical And Surgical Clinic PA's NPI number?

The NPI number for Stephenville Medical And Surgical Clinic PA is 1912902826. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Smsc.

Where is Stephenville Medical And Surgical Clinic PA located?

Stephenville Medical And Surgical Clinic PA is located at 150 River North Blvd, Stephenville, TX 76401. The listed phone number is (254) 968-6051.

What is Stephenville Medical And Surgical Clinic PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Stephenville Medical And Surgical Clinic PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Stephenville Medical And Surgical Clinic PA was last updated on November 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.