Individual provider Active NPI

Debra Lyn Hammond, MD

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1194789420
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8565 Issued in TX
Practice address
3501 S Soncy Rd Ste 150
Amarillo, TX 79119-6426
Phone
(806) 212-6353
Fax
(806) 212-0558
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 J8565 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 150
Amarillo, TX 79119-6426

Mailing address

PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-6965

Other practice location 1

4510 Bell St
Amarillo, TX 79109-5714
Phone (806) 212-4835

Other identifiers 2

IdentifierTypeStateIssuer
270273YM5UOtherTXMEDICARE
118467308MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060912000366 TX Practitioner - Family Practice 0749243798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

1000 S Coulter St
Suite 100
Amarillo, TX 79106-1781
Phone (806) 212-4701

1751 Wallace Blvd
Amarillo, TX 79106-1711
Phone (806) 359-4673

3501 S Soncy Rd
Suite 150
Amarillo, TX 79119-6426
Phone (806) 212-6353

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8565TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Physicians Group Inc CurrentSince Jan 1, 2013 Accepting new patients
Bsa Physicians Group Inc Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Covenant Medical Group Family Medicine Past Accepting new patients

Locations

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

3501 S Soncy Rd
Ste 150
Amarillo, TX 79119
Phone (806) 212-6353

1000 S Coulter St
Ste 200
Amarillo, TX 79106
Phone (806) 212-4535

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

4510 Bell St
Amarillo, TX 79109
Phone (806) 212-4835

Interoperability endpoints

  • Direct secure messaging: dhammond21828@ahs.direct-ci.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194789420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-6965",
            "fax_number": "806-212-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 150",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196426",
            "telephone_number": "806-212-6353",
            "fax_number": "806-212-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 BELL ST",
            "address_purpose": "LOCATION",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095714",
            "country_code": "US",
            "telephone_number": "806-212-4835",
            "fax_number": "806-212-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "DEBRA",
        "middle_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "270273YM5U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118467308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.