Genesis PrimeCare – Federally Qualified Health Center (FQHC), NPI 1053663690

Federally Qualified Health Center (FQHC)

Genesis PrimeCare is a healthcare provider. based in Texarkana, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Genesis PrimeCare is 1053663690

Main info

Organization

Name

Genesis PrimeCare

NPI

1053663690

Phone

(903) 791-1110

Address

1400 COLLEGE DR

Authorized Official

CARLA ROADCAP CEO

Enumeration Date

5 October 2012

Last Update Date

13 June 2024

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience46

Completeness80

Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Genesis PrimeCare

1400 COLLEGE DR
TEXARKANA, TX 755033536
Phone: (903) 791-1110
Fax: (903) 791-9353
Type: Location
PO BOX 1326
MARSHALL, TX 756711326
Phone: (903) 927-3782
Fax: (903) 927-1764
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (281 days ago).

Enrollment records

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
O20130109000585	O	Federally Qualified Health Center (Fqhc)	TX	2025-08-31

What to do next

Verify current status on the CMS Revalidation Lookup Tool immediately.
Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75503)

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Reviews

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Frequently asked questions

Does Genesis PrimeCare share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Genesis PrimeCare uses 1053663690.

Does the file indicate Genesis PrimeCare is practicing under active NPI?

Directory data currently reports Genesis PrimeCare as active.

What taxonomy line describes Genesis PrimeCare?

For research purposes, treat Genesis PrimeCare as Federally Qualified Health Center (FQHC) in this dataset. Clinical services aligned with this taxonomy classification.

Does Genesis PrimeCare list a practice location?

Patients near Texarkana, Texas may find Genesis PrimeCare in results; validate coverage separately.

Is the information about Genesis PrimeCare up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."