NPIMap

Individual provider Active NPI

Jacob Thomas Darter, MD

  • Family Medicine Physician
  • Childress, TX
National Provider Identifier
1043848369
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T6214 Issued in TX
Practice address
1001 US Highway 83 N
Childress, TX 79201-2322
Phone
(940) 937-3636
Fax
(940) 937-9615
NPI assigned
Mar 31, 2020
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T6214 TX Primary

Addresses

Primary practice location

1001 US Highway 83 N
Childress, TX 79201-2322

Mailing address

PO Box 1030
Childress, TX 79201-1030
Phone (940) 937-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231021000007 TX Practitioner - Family Practice 6204252885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 US Hwy 83 N
Childress, TX 79201-2322
Phone (940) 937-3636

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Childress County Hospital District CurrentSince Aug 10, 2023 Accepting new patients
Childress County Hospital District CurrentSince Aug 10, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Childress County Hospital District Past Accepting new patients
Childress County Hospital District Past Accepting new patients

Locations

901 US Highway 83 N
Childress, TX 79201
Phone (940) 937-6371

Interoperability endpoints

  • Direct secure messaging: jdarter273393@ahs.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1043848369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792011030",
            "telephone_number": "940-937-3636",
            "fax_number": "940-937-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 US HIGHWAY 83 N",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792012322",
            "telephone_number": "940-937-3636",
            "fax_number": "940-937-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTER",
        "first_name": "JACOB",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T6214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Childress, TX

Sources for this page

Verify at the official NPI Registry.