NPIMap

Organization Active NPI

FMC Medical Foundation, Inc.

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1104255272
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FMC MEDICAL FOUNDATION, INC.
Practice address
2701 S Georgia St
Amarillo, TX 79109-1979
Phone
(806) 350-3000
Fax
(806) 350-3337
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Stefanie Feemster
Title
Credentialing Specialist
Phone
(806) 350-7325

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X

Addresses

Primary practice location

2701 S Georgia St
Amarillo, TX 79109-1979

Mailing address

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 358-9400

Other practice location 1

1500 S Coulter St Ste 3
Amarillo, TX 79106-1787
Phone (806) 350-7601

Other practice location 2

6 Medical Dr
Amarillo, TX 79106-4136
Phone (806) 718-5130

Other practice location 3

7306 SW 34th Ave Ste 3
Amarillo, TX 79121-1446
Phone (806) 350-3010

Other practice location 4

1500 S Coulter St Ste 1
Amarillo, TX 79106-1787
Phone (806) 354-0404

Other practice location 5

1500 S Coulter St Ste 6
Amarillo, TX 79106-1790
Phone (806) 467-9777

Other practice location 6

2329 Ross Osage
Amarillo, TX 79103
Phone (806) 350-5790

Other practice location 7

400 SW 14th Ave Ste 100
Amarillo, TX 79101-4140
Phone (806) 337-4555

Other practice location 8

911 23rd St
Canyon, TX 79015-4645
Phone (806) 655-2104

Other practice location 9

8601 Hillside Rd
Amarillo, TX 79119-8032
Phone (806) 350-6805

Other practice location 10

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 358-9400 ext. 3355

Other practice location 11

7306 SW 34th Ave Ste 4
Amarillo, TX 79121-1446
Phone (806) 350-8850

Other practice location 12

5512 Gem Lake Rd Ste 500
Amarillo, TX 79106-4227
Phone (806) 718-5130

Other practice location 13

8601 Hillside Rd
Amarillo, TX 79119-8032
Phone (806) 350-7280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141114001090 TX Part B Supplier - Clinic/Group Practice 9133341795 Receives reassigned benefits from 60 practitioners
Practice locations: Canyon, TX; Amarillo, TX

National Provider Directory

National Provider Directory

Locations

2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325

2701 S Georgia St
Ste 1
Amarillo, TX 79109

3500 S Soncy Rd 1002
Amarillo, TX 79119

7306 SW 34th Ave
Ste 4
Amarillo, TX 79121
Phone (806) 350-8850

1616 S Kentucky St
Amarillo, TX 79102
Phone (806) 463-7001

1501 S Coulter St
Ste 106
Amarillo, TX 79106

6660 Killgore Dr
Amarillo, TX 79106

1616 S Kentucky St
Ste 100
Amarillo, TX 79102
Phone (806) 350-8969

1500 S Coulter St
Ste 2
Amarillo, TX 79106
Phone (806) 355-9257

6600 Killgore Dr
Ste 10
Amarillo, TX 79106

1501 S Coulter St
Ste 6
Amarillo, TX 79106

5512 Gem Lake Rd
Ste 500
Amarillo, TX 79106
Phone (806) 718-5130

603 Quail Creek Dr
Spc 300
Amarillo, TX 79124
Phone (806) 350-8980

1616 S Kentucky St
Bldg B
Amarillo, TX 79102

1616 S Kentucky St
Ste B100
Amarillo, TX 79102
Phone (806) 355-8900

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1104255272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAKEVIEW DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091531",
            "telephone_number": "806-358-9400",
            "fax_number": "806-355-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091979",
            "telephone_number": "806-350-3000",
            "fax_number": "806-350-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Coulter St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061787",
            "country_code": "US",
            "telephone_number": "806-350-7601",
            "fax_number": "806-350-7602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791064136",
            "country_code": "US",
            "telephone_number": "806-718-5130",
            "fax_number": "806-718-5131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7306 SW 34th Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791211446",
            "country_code": "US",
            "telephone_number": "806-350-3010",
            "fax_number": "806-350-3015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Coulter St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061787",
            "country_code": "US",
            "telephone_number": "806-354-0404",
            "fax_number": "806-358-4851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Coulter St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061790",
            "country_code": "US",
            "telephone_number": "806-467-9777",
            "fax_number": "806-467-9799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2329 Ross Osage",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "79103",
            "country_code": "US",
            "telephone_number": "806-350-5790",
            "fax_number": "806-350-5791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 SW 14th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791014140",
            "country_code": "US",
            "telephone_number": "806-337-4555",
            "fax_number": "806-337-4551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 23rd St",
            "address_purpose": "LOCATION",
            "city": "Canyon",
            "state": "TX",
            "postal_code": "790154645",
            "country_code": "US",
            "telephone_number": "806-655-2104",
            "fax_number": "806-655-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8601 Hillside Rd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791198032",
            "country_code": "US",
            "telephone_number": "806-350-6805",
            "fax_number": "806-350-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791091531",
            "country_code": "US",
            "telephone_number": "806-358-9400 x3355",
            "fax_number": "806-355-7864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7306 SW 34th Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791211446",
            "country_code": "US",
            "telephone_number": "806-350-8850",
            "fax_number": "806-350-8855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5512 Gem Lake Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791064227",
            "country_code": "US",
            "telephone_number": "806-718-5130",
            "fax_number": "806-718-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8601 Hillside Rd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791198032",
            "country_code": "US",
            "telephone_number": "806-350-7280",
            "fax_number": "806-350-7281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FMC MEDICAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "FEEMSTER",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "806-350-7325"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.