PREMIER INDEPENDENT PHYSICIANS GROUP, INC. – Family Medicine Physician, NPI 1437676640
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PREMIER INDEPENDENT PHYSICIANS GROUP, INC.
East Trinity Mills Road, Carrollton, Dallas County, Texas, 75006, United States
CARROLLTON, TX 750061946
Phone: (940) 442-5209
Type: Mailing
2609 Scripture St Ste 101
Denton, TX 762012302
Phone: (940) 209-3880
Fax: (940) 209-3878
Type: Location
2451 S Fm 51 Ste 100
Decatur, TX 762343859
Phone: (940) 627-0088
Fax: (940) 627-0088
Type: Location
4100 W 15th St Ste 202
Plano, TX 750935801
Phone: (972) 943-5914
Fax: (972) 943-5916
Type: Location
5401 Long Prairie Rd Ste 200
Flower Mound, TX 750282212
Phone: (214) 513-2300
Fax: (214) 513-2333
Type: Location
945 Hilltop Dr Ste 101
Weatherford, TX 760865892
Phone: (817) 458-4985
Fax: (469) 405-5441
Type: Location
3121 S Carrier Pkwy
Grand Prairie, TX 750523734
Phone: (972) 266-5354
Fax: (972) 266-7876
Type: Location
4201 Medical Center Dr Ste 300
McKinney, TX 750691777
Phone: (214) 427-5853
Fax: (214) 424-5853
Type: Location
931 State Highway 121 Ste 2100
Allen, TX 750131182
Phone: (972) 722-7860
Fax: (972) 295-9600
Type: Location
1001 W Eagle Dr
Decatur, TX 762343745
Phone: (940) 627-7440
Fax: (940) 539-4035
Type: Location
1820 N Lake Forest Dr Ste 300
McKinney, TX 750717653
Phone: (214) 491-5606
Fax: (972) 746-4778
Type: Location
10740 N Central Expy Ste 170
Dallas, TX 752312103
Phone: (214) 328-3610
Fax: (972) 437-9240
Type: Location
1820 ONeal St Ste 5
Gainesville, TX 762403610
Phone: (940) 580-3070
Fax: (940) 580-2042
Type: Location
2202 US Highway 380 Ste 112
Bridgeport, TX 764262177
Phone: (940) 683-2338
Fax: (940) 683-2394
Type: Location
1630 W Chapman Dr
Sanger, TX 762669054
Phone: (940) 458-4774
Fax: (940) 458-0212
Type: Location
26745 US Highway 380 E Ste 112
Aubrey, TX 762278338
Phone: (972) 347-2777
Fax: (972) 347-2776
Type: Location
309 Westpark Way Ste 309
Euless, TX 760403902
Phone: (940) 442-5209
Fax: (940) 222-2720
Type: Location
1820 N Lake Forest Dr Ste 300B
McKinney, TX 750717653
Phone: (469) 631-0935
Fax: (214) 216-0435
Type: Location
133 N Fm 730 Unit 105
Boyd, TX 760233072
Phone: (940) 433-2151
Fax: (940) 433-2366
Type: Location
1512 TEASLEY LN
DENTON, TX 762057282
Phone: (940) 442-5209
Fax: (940) 222-2720
Type: Location
2871 LAKE VISTA DR
SUITE 210
LEWISVILLE, TX 75067
Phone: (940) 442-5209
Fax: (940) 222-2720
Type: Location
2871 LAKE VISTA DR STE 210
LEWISVILLE, TX 750678411
Phone: (940) 442-5209
Fax: (940) 222-2720
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: 2017-10-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20171017000485 | O | Clinic/Group Practice | TX | TBD |
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.
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 75006)
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