Organization Active NPI

Cleburne Family Medicine Associates, PLLC

  • Family Medicine Physician
  • Sherman, TX
National Provider Identifier
1801893656
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC
Practice address
310 N Bryant Ave
Sherman, TX 75092-7336
Phone
(903) 957-0190
Fax
(903) 957-0188
NPI assigned
Jul 7, 2005
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dana Olive Gassaway
Title
Administrator
Phone
(214) 668-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TX Primary

Addresses

Primary practice location

310 N Bryant Ave
Sherman, TX 75092-7336

Mailing address

251 E Southlake Blvd
Southlake, TX 76092-6269
Phone (817) 337-3433

Other practice location 1

1700 Gallagher Dr
Sherman, TX 75090-1810
Phone (903) 893-1399

Other identifiers 1

IdentifierTypeStateIssuer
112652602MedicaidTX

Other names 1

  • Family Medicine Associates Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090109000012 TX Part B Supplier - Clinic/Group Practice 9234292707 Receives reassigned benefits from 33 practitioners
Practice locations: Fort Worth, TX; Sherman, TX; Midland, TX; Keller, TX; Joshua, TX; Irving, TX; Cleburne, TX; Denton, TX…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2206268Cleburne Family Medicine Associates310 N Bryant Ave, Sherman, TX 75092Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

131 S Westmeadow Dr
Ste 300
Cleburne, TX 76033
Phone (817) 558-4611

209 Saint Louis Ave
Fort Worth, TX 76104
Phone (214) 287-2886

3124 N Tarrant Pkwy
Fort Worth, TX 76177

815 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 421-0505

6161 N State Highway 161
Ste 320
Irving, TX 75038
Phone (469) 528-1169

1700 Gallagher Dr
#R
Sherman, TX 75090
Phone (903) 893-1399

1700 Gallagher Dr
Ofc Of
Sherman, TX 75090
Phone (903) 893-1399

2801 N Loy Lake Rd
#A
Sherman, TX 75090
Phone (903) 957-0190

2801 N Loy Lake Rd
Ofc Of
Sherman, TX 75090
Phone (903) 957-0190

310 N Bryant Ave
#A
Sherman, TX 75092
Phone (903) 957-0190

1517 Texas Dr
Weatherford, TX 76086
Phone (817) 458-3300

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1801893656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926269",
            "telephone_number": "817-337-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N BRYANT AVE",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927336",
            "telephone_number": "903-957-0190",
            "fax_number": "903-957-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Gallagher Dr",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750901810",
            "country_code": "US",
            "telephone_number": "903-893-1399",
            "fax_number": "903-893-8157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "GASSAWAY",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "OLIVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-668-0414"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112652602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.