Amd Medical PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AMD MEDICAL PLLC

Practice address

3500 Hillcrest Dr Ste 7
Waco, TX 76708-3144

Phone

(254) 424-9523

Fax

(254) 424-9846

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jean Dortilus, MDNPI 1063658524

Title

Psychiatrist

Phone

(254) 424-9523

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Jean Nerva Dortilus, M.D.

  • Psychiatry Physician
  • Waco, TX
  • NPI 1063658524

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Jessie Marie Lawrence, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waco, TX
  • NPI 1669364196
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1235797994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 HILLCREST DR STE 7",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083144",
            "telephone_number": "254-424-9523",
            "fax_number": "254-424-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HILLCREST DR STE 7",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083144",
            "telephone_number": "254-424-9523",
            "fax_number": "254-424-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMD MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "DORTILUS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "254-424-9523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ibanez Counseling
• Ashley Amar, MD
• Meera Amar, M.D.
• Neil Kanth Amar, M.D.
• Niran Jan Amar, M.D.
• Amedisys Texas LLC
• American Current Care P.a.
• American Current Care, P.a.
• Florence Amoro, M.D.
• Kristina Ali Amrani, ATC

• Psychiatry Physician in Waco, TX
• Providers in Waco, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.