Organization Active NPI

Edropa Family Medicine Clinic

  • Primary Care Clinic/Center
  • Garland, TX
National Provider Identifier
1467090050
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EDROPA FAMILY MEDICINE CLINIC
Practice address
429 E Interstate 30 Ste 114
Garland, TX 75043-4097
Phone
(972) 795-3292
Fax
(972) 767-0334
NPI assigned
Dec 14, 2019
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Ms. Joan Adomaa Asafo-Agyei, NPNPI 1104301647
Title
Director
Phone
(972) 795-3292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

429 E Interstate 30 Ste 114
Garland, TX 75043-4097

Mailing address

339 Redstone Dr
Sunnyvale, TX 75182-3240

Other names 1

  • EVEXIA FAMILY MEDICINE CLINIC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200421000509 TX Part B Supplier - Clinic/Group Practice 7810327509 Receives reassigned benefits from 2 practitioners
Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Locations

429 E Interstate 30
Garland, TX 75043

429 E Interstate 30
Ste 114
Garland, TX 75043
Phone (214) 529-9041

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1467090050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 REDSTONE DR",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751823240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E INTERSTATE 30 STE 114",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434097",
            "telephone_number": "972-795-3292",
            "fax_number": "972-767-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDROPA FAMILY MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-14",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "ASAFO-AGYEI",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "ADOMAA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-795-3292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVEXIA FAMILY MEDICINE CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.

Verify at the official NPI Registry.