CENTER CARE CLINIC PLLC.
NPI 1972391886
Nurse Practitioner - Primary Care in Jacksonville, TX
About Center Care Clinic Pllc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTER CARE CLINIC PLLC. (NPI 1972391886) is a healthcare organization registered as a primary care in Jacksonville, Texas and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Chaquarra Lastaysha Mitchell, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 45D2324720
Center Care Clinic PLLC · Jacksonville, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Center Care Clinic PLLC.'s NPI number?
The NPI number for Center Care Clinic PLLC. is 1972391886. It was assigned to this organization in the NPPES registry on April 29, 2025.
Where is Center Care Clinic PLLC. located?
Center Care Clinic PLLC. is located at 1738 S Jackson St, Jacksonville, TX 75766. The listed phone number is (903) 787-2219.
What is Center Care Clinic PLLC.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Does Center Care Clinic PLLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2324720) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Center Care Clinic PLLC. was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Center Care Clinic Pllc. · NPI 1972391886
Primary Care organization in Jacksonville, Texas. Organization record, active in the CMS NPPES registry since April 29, 2025.
## Identity
- **NPI:** 1972391886 (Entity type: Organization)
- **Enumerated:** April 29, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Chaquarra Mitchell, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 1738 S JACKSON ST, Jacksonville, TX 75766-5831
- **Phone:** (903) 787-2219
## Record status
- **NPPES last updated:** April 29, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972391886) · Data from the CMS NPPES public registry.