Genesis PrimeCare – Federally Qualified Health Center (FQHC), NPI 1104361781

Genesis PrimeCare is a healthcare provider. based in Texarkana, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Genesis PrimeCare is 1104361781

Main info

Organization
Name
Genesis PrimeCare
NPI
1104361781
Phone
(903) 791-1110
Address
1400 COLLEGE DR
Authorized Official
CARLA ROADCAP CEO
Enumeration Date
5 January 2017
Last Update Date
28 August 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:9State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Genesis PrimeCare

  • 1400, College Drive, Texarkana, Bowie County, Texas, 75503, United States

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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

Can I use this page to confirm Genesis PrimeCare's NPI?
Yes. Genesis PrimeCare is listed with NPI 1104361781 in the public NPI dataset.
Is Genesis PrimeCare listed as active for patients and plans?
The listing shows Genesis PrimeCare as active in the NPI system.
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.
What address line appears for Genesis PrimeCare?
Genesis PrimeCare's geographic hint is Texarkana, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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