TROPHY CLUB FAMILY MEDICINE
NPI 1922093061
Family Medicine in Trophy Club, TX
About Trophy Club Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TROPHY CLUB FAMILY MEDICINE (NPI 1922093061) is a healthcare organization registered as a family medicine in Trophy Club, Texas and active in the NPI registry since September 2005. The organization lists Lainey Gee, Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trophy Club Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Trophy Club Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Trophy Club Family Medicine PA's NPI number?
The NPI number for Trophy Club Family Medicine PA is 1922093061. It was assigned to this organization in the NPPES registry on September 14, 2005. The provider is doing business as Trophy Club Family Medicine.
Where is Trophy Club Family Medicine PA located?
Trophy Club Family Medicine PA is located at 301 Trophy Lake Dr #136, Trophy Club, TX 76262. The listed phone number is (817) 430-9111.
What is Trophy Club Family Medicine PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Trophy Club Family Medicine PA enrolled in Medicare?
Yes. Trophy Club Family Medicine PA is registered in the Medicare PECOS enrollment system.
When is Trophy Club Family Medicine PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Trophy Club Family Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Family Practice, reassign their Medicare billing to Trophy Club Family Medicine PA. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Trophy Club Family Medicine PA was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Trophy Club Family Medicine · NPI 1922093061
Family Medicine organization in Trophy Club, Texas. Organization record, active in the CMS NPPES registry since September 14, 2005.
## Identity
- **NPI:** 1922093061 (Entity type: Organization)
- **Enumerated:** September 14, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Trophy Club Family Medicine Pa
- **Organization subpart:** No
- **Authorized official:** Lainey Gee, BUSINESS MANAGER
## Practice location
- **Address:** 301 TROPHY LAKE DR, #136, Trophy Club, TX 76262-5238
- **Phone:** (817) 430-9111 · **Fax:** (817) 430-8911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2007
- **Other identifiers:** Medicaid 148222601 (TX); Medicare PIN 00525U (TX); Other 0008JQ (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1922093061) · Data from the CMS NPPES public registry.