MAIN STREET FAMILY MEDICAL, LLC
NPI 1952025249
Clinic/Center - Primary Care in Spiro, OK
About Main Street Family Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET FAMILY MEDICAL, LLC (NPI 1952025249) is a healthcare organization registered as a primary care in Spiro, Oklahoma and active in the NPI registry since September 2022. The organization lists Elizabeth Trudy Davis, Founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Main Street Family Medical, Llc 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 Main Street Family Medical, LLC, 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.
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 Main Street Family Medical, LLC's NPI number?
The NPI number for Main Street Family Medical, LLC is 1952025249. It was assigned to this organization in the NPPES registry on September 29, 2022.
Where is Main Street Family Medical, LLC located?
Main Street Family Medical, LLC is located at 701 W Broadway St, Spiro, OK 74959. The listed phone number is (918) 962-8009.
What is Main Street Family Medical, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Main Street Family Medical, LLC enrolled in Medicare?
Yes. Main Street Family Medical, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Main Street Family Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Main Street Family Medical, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Main Street Family Medical, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Main Street Family Medical, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Main Street Family Medical, LLC was last updated on September 7, 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.
# Main Street Family Medical, Llc · NPI 1952025249
Primary Care organization in Spiro, Oklahoma. Organization record, active in the CMS NPPES registry since September 29, 2022.
## Identity
- **NPI:** 1952025249 (Entity type: Organization)
- **Enumerated:** September 29, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Davis, FOUNDER
## Practice location
- **Address:** 701 W BROADWAY ST, Spiro, OK 74959-2456
- **Phone:** (918) 962-8009 · **Fax:** (918) 962-8027
## 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:** September 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1952025249) · Data from the CMS NPPES public registry.