Clover Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLOVER FAMILY MEDICINE, PLLC

Doing business as

Southern Hospitality by CLOVER FAMILY MEDICINE

Practice address

1125 Legacy Dr Ste 220
Frisco, TX 75034-1942

Phone

(469) 294-0210

Fax

(877) 370-4339

NPI assigned

Apr 20, 2021

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria Herold, DONPI 1659785830

Title

Ceo/ Physician

Phone

(469) 294-0210

Specialties & licenses 1

Addresses

Other names 1

• Southern Hospitality by CLOVER FAMILY MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Herold, DO

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1659785830

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Anna Kristin Rusk, M.D.

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1629431564
  Medicare reassignment Care Compare group NPD
• Katy Diane Brett, PA-C

  • Physician Assistant
  • Frisco, TX
  • NPI 1215644026
  Medicare reassignment Care Compare group
• Amanda Michelle Dunn, APRN

  • Gerontology Nurse Practitioner
  • Plano, TX
  • NPI 1710798160
  Medicare reassignment Care Compare group
• Samantha Jeanne Melillo, PA-C

  • Physician Assistant
  • Frisco, TX
  • NPI 1831823434
  NPD
• Mi Hye Song, MD

  • Dermatology Physician
  • Carrollton, TX
  • NPI 1821485434
  NPD
• Charles William Doubleday, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1508869991
  NPD (past)
• Woojung Michelle Lee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Frisco, TX
  • NPI 1912352477

  Single Specialty

  NPD (past)
• Hayden Orgeron, FNP-C

  • Family Nurse Practitioner
  • Humble, TX
  • NPI 1457960759
  NPD (past)
• Heather Reagin, DO

  • Dermatology Physician
  • Saginaw, TX
  • NPI 1407260151
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1053992008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 FM 423",
            "address_2": "STE 250-150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75036",
            "telephone_number": "469-294-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 LEGACY DR STE 220",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341942",
            "telephone_number": "469-294-0210",
            "fax_number": "877-370-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-09-02",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "HEROLD",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO/ PHYSICIAN",
        "authorized_official_telephone_number": "469-294-0210",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Hospitality by CLOVER FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Sophia Cline, MD
• Clinic 21 of Collin County, PLLC
• Tatia Close, LMFT
• Clough Dialysis LLC (Physicians Dialysis Frisco)
• Clough Dialysis LLC (Frisco Dialysis)
• Cobalt Counseling, LLC
• Cobb Health Care Services, Inc
• Casey Cobb, M.A. LPC
• William B Cobb, M.D.
• Cobri Health Inc (Better Life Chiropractic)

• Family Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.