Centenary Family & Urgent Care

Organization Active NPI Family Medicine Physician · Lancaster, TX

NPI 1104447937 · NPPES record last updated Jun 13, 2025

Key facts

NPI
1104447937
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CENTENARY FAMILY & URGENT CARE
Practice address
211 W Pleasant Run Rd Ste 102
Lancaster, TX 75146-1585
Phone
(469) 949-8900
Fax
(214) 339-2784
NPI assigned
May 4, 2020
Organization subpart
No

Authorized official

Name
Mrs. Inita Michelle Griffin, FNP,PMHNP-BC
Title
Admin
Phone
(469) 949-8900

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2237474Centenary Family & Urgent Care
211 W Pleasant Run Rd Suite 102, Lancaster, TX 75146
Certificate of waiverSep 23, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200629003537 TX Part B Supplier - Clinic/Group Practice 1456773985 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, TX

National Provider Directory

Locations

8702 S Lancaster Rd
Ste 160A
Dallas, TX 75241

211 W Pleasant Run Rd
Ste 102
Lancaster, TX 75146
Phone (469) 949-8900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X

Addresses

Primary practice location

211 W Pleasant Run Rd Ste 102
Lancaster, TX 75146-1585

Mailing address

211 W Pleasant Run Rd Ste 102
Lancaster, TX 75146-1585
Phone (469) 949-8900

Other names

  • Centenary Family & Urgent Care Other name

Other providers in Lancaster, TX

All providers in Lancaster, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.