Southern Roots Family Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOUTHERN ROOTS FAMILY CARE

Doing business as

Southern Roots Family Care

Practice address

400 W. Calvert St , Unit C
Troup, TX 75789

Phone

(903) 969-5056

NPI assigned

May 24, 2023

Organization subpart

Yes

Parent organization

MCCLURE HEALTHCARE, PLLCAs reported in NPPES

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

Authorized official

Name

Stephanie McClureNPI 1225720014

Title

FNP-C

Phone

(903) 969-5056

Specialties & licenses 1

Addresses

Other names 1

• Southern Roots Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Part of

McClure Healthcare

Practitioners 1

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.

• Stephanie McClure, FNP-C

  • Family Nurse Practitioner
  • Troup, TX
  • NPI 1225720014
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1891487070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "address_2": "400 W. CALVERT ST, UNIT C",
            "city": "TROUP",
            "state": "TX",
            "postal_code": "757890059",
            "telephone_number": "903-969-5056",
            "fax_number": "903-969-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W. CALVERT ST , UNIT C",
            "city": "TROUP",
            "state": "TX",
            "postal_code": "75789",
            "telephone_number": "903-969-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ROOTS FAMILY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCLURE HEALTHCARE, PLLC",
        "enumeration_date": "2023-05-24",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "903-969-5056"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Roots Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Roots Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Troup, TX
• Providers in Troup, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.