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
-
Inita M Griffin, MSN,FNP,PMHNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2237474 | Centenary Family & Urgent Care | Certificate of waiver | Sep 23, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
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 providers in Lancaster, TX
- Amanda L Carlile
- Priscilla Galliguez Carroll
- Damita Carter
- Kenneth Michael Caulder
- Shannon Nicole Celestine-Brown
- Champions Haven Assisted Living Inc.
- Christina Chaney
- Charles Community Counseling Center PLLC
- Lekeesha Lequan Charles
- Jennifer H Chen
All providers in Lancaster, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.