NPIMap

Organization Active NPI

Discovery Medical Network Matagorda, LLC

Doing business as Matagorda Medical Group

  • Rural Health Clinic/Center
  • Bay City, TX
National Provider Identifier
1225676604
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DISCOVERY MEDICAL NETWORK MATAGORDA, LLC
Doing business as
Matagorda Medical Group
Practice address
600 Hospital Cir
Bay City, TX 77414-4771
Phone
(979) 245-0001
Fax
(979) 244-8103
NPI assigned
Dec 16, 2019
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Mr. Michael Yost
Title
Vice President
Phone
(806) 776-0602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

600 Hospital Cir
Bay City, TX 77414-4771

Mailing address

1500 Broadway Ste 1000
Lubbock, TX 79401-3179
Phone (806) 791-1591

Other identifiers 1

IdentifierTypeStateIssuer
310938103MedicaidTX

Other names 1

  • Matagorda Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180626001955 TX Part A Provider - Rural Health Clinic 4082862487 1 other NPI on this enrollment
Practice locations: Bay City, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225676604. Details of each certification follow.

Rural health clinic certification: CCN 673947

Legal name
DISCOVERY MEDICAL NETWORK MATAGORDA LLC
Doing business as
MATAGORDA MEDICAL GROUP
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 29, 2019
Last certification
Jul 17, 2025
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
600 Hospital Cir
Bay City, TX 77414-4771

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Discovery Medical Network Matagorda LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2950 50th St
Lubbock, TX 79413
Phone (806) 788-0158

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Discovery Medical Network, Inc Organization, Lubbock, TX For-profit 5% Or Greater Direct Ownership Interest May 1, 2018 100%
Operational/Managerial Control May 1, 2018
Michael Yost Individual Corporate DirectorVice President May 1, 2015
Gail Bass Individual W-2 Managing EmployeeBusiness Office Supervisor May 1, 2018
Jacqueline Webb Individual Corporate DirectorAdministration Jan 1, 2024

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1225676604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BROADWAY STE 1000",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013179",
            "telephone_number": "806-791-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL CIR",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144771",
            "telephone_number": "979-245-0001",
            "fax_number": "979-244-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY MEDICAL NETWORK MATAGORDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "806-776-0602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310938103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matagorda Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matagorda Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.