Genesis PrimeCare – Federally Qualified Health Center (FQHC), NPI 1366828303

Genesis PrimeCare is a healthcare provider. based in Marshall, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Genesis PrimeCare is 1366828303

Main info

Organization
Name
Genesis PrimeCare
NPI
1366828303
Phone
(903) 927-3782
Address
PO BOX 1326
Authorized Official
CARLA ROADCAP CEO
Enumeration Date
31 July 2015
Last Update Date
13 June 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness80
Years active:10State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Genesis PrimeCare

  • PO BOX 1326

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

  • 1011 S WILLIAM ST

    ATLANTA, TX 755513245

    Phone: (903) 796-2868

    Fax: (903) 796-0826

    Type: Location

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: 2015-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20151006000350OFederally Qualified Health Center (Fqhc)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 75671)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Genesis PrimeCare?
Genesis PrimeCare — NPI 1366828303 — is the standard way to identify this listing.
Does CMS list Genesis PrimeCare as active?
Yes — Genesis PrimeCare is active in the NPI listing used on this page.
What is Genesis PrimeCare's specialty?
The listing groups Genesis PrimeCare with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What area does Genesis PrimeCare serve?
Genesis PrimeCare's listing highlights Marshall, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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