Active NPI
Community Roots Healthcare PLLC
- Primary Care Clinic/Center
- Athens, TX
National Provider Identifier
1780539346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- COMMUNITY ROOTS HEALTHCARE PLLC
- Practice address
- 117 E Tyler St
Athens, TX 75751-2007 - Phone
- (903) 286-2028
- NPI assigned
- Feb 28, 2026
- Last updated
- Feb 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsey Edwards, FNP
- Title
- FNP
- Phone
- (903) 286-2028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
117 E Tyler St
Athens, TX 75751-2007
Mailing address
117 E Tyler St
Athens, TX 75751-2007
Phone (903) 286-2028
National Provider Directory
National Provider DirectoryLocations
117 E Tyler St
Athens, TX 75751
Phone (903) 286-2028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772236800000",
"number": "1780539346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E TYLER ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757512007",
"telephone_number": "903-286-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E TYLER ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757512007",
"telephone_number": "903-286-2028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY ROOTS HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-28",
"last_updated": "2026-02-28",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "903-286-2028",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.