Active NPI
Family First Healthcare
- Family Medicine Physician
- McKinney, TX
National Provider Identifier
1184764276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E4513
- Legal business name
- FAMILY FIRST HEALTHCARE
- Practice address
- 4700 W Eldorado Pkwy
Suite 210
McKinney, TX 75070-5239 - Phone
- (972) 369-0744
- NPI assigned
- Feb 7, 2007
- Organization subpart
- Yes
- Parent organization
- GREENVILLE HEALTHCARE ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Pate
- Title
- Office Adm
- Phone
- (972) 369-0744
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E4513 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 273121 | TX |
Addresses
Primary practice location
4700 W Eldorado Pkwy
Suite 210
McKinney, TX 75070-5239
Mailing address
4700 W Eldorado Pkwy
Suite 210
McKinney, TX 75070-5239
Phone (972) 369-0744
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133516809 | Medicaid | TX | |
| 80166325 | Other | TX | RR MEDICARE |
| DA2786 | Other | TX | RR MEDICARE |
| 8J1200 | Other | TX | BCBS |
| 163200202 | Medicaid | TX | |
| 00332V | Other | TX | MEDICARE GROUP |
| 0087JY | Other | TX | BCBS |
Other names 1
- GREENVILLE HEALTHCARE ASSOCIATES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324000498 | TX | Part B Supplier - Clinic/Group Practice | 9234020553 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenville, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Family First Healthcare
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FGIBAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1184764276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 W ELDORADO PKWY",
"address_2": "SUITE 210",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750705239",
"telephone_number": "972-369-0744",
"fax_number": "972-369-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 W ELDORADO PKWY",
"address_2": "SUITE 210",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750705239",
"telephone_number": "972-369-0744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FIRST HEALTHCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREENVILLE HEALTHCARE ASSOCIATES",
"enumeration_date": "2007-02-07",
"last_updated": "2010-01-05",
"status": "A",
"authorized_official_last_name": "PATE",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OFFICE ADM",
"authorized_official_telephone_number": "972-369-0744"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "E4513",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "273121",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133516809",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "80166325",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DA2786",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8J1200",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163200202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "00332V",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0087JY",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GREENVILLE HEALTHCARE ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.