Active NPI
Christopher O Gulley, M.D.
- Internal Medicine Physician
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q4121
- Practice address
- 1215 S Coulter St
400
Amarillo, TX 79106-1758 - Phone
- (806) 677-2000
- Fax
- (806) 356-0045
- NPI assigned
- Apr 23, 2012
- Last updated
- May 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | Q4121 | TX | Primary |
Addresses
Primary practice location
1215 S Coulter St
400
Amarillo, TX 79106-1758
Mailing address
1215 S Coulter St
Ste 400
Amarillo, TX 79106-1758
Phone (806) 677-2000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88674703 | Medicaid | NM | |
| 200622020 A | Medicaid | OK | |
| 353267301 | Medicaid | TX | |
| 353267302 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Southwestern Medical School at Dallas, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1900 Coulter Dr
Suite O
Amarillo, TX 79106-1753
Phone (806) 358-8331
9092 Westgate Pkwy W
Amarillo, TX 79124-2441
Phone (806) 358-8331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amarillo Medical Specialists,LLP | Internal Medicine | Current | Accepting new patients |
Locations
1215 S Coulter St
Ste 200
Amarillo, TX 79106
Phone (806) 350-7311
1215 S Coulter St
Ste 305
Amarillo, TX 79106
Phone (806) 358-1374
1215 S Coulter St
Ste 400
Amarillo, TX 79106
Phone (806) 358-8331
Interoperability endpoints
- christopher.gulley@almaco.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/FDFCAA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1790743524
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1407191984
-
dba Excelacare Home Health
- Home Health Agency
- Amarillo, TX
- NPI 1437104221
-
dba CenterWell Home Health
- Home Health Agency
- Amarillo, TX
- NPI 1174755151
-
dba Northwest Texas Healthcare System
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1912948845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1265790612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 S COULTER ST",
"address_2": "STE 400",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061758",
"telephone_number": "806-677-2000",
"fax_number": "806-356-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S COULTER ST",
"address_2": "400",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061758",
"telephone_number": "806-677-2000",
"fax_number": "806-356-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLEY",
"first_name": "CHRISTOPHER",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q4121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88674703",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200622020 A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "353267301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "353267302",
"state": "TX"
}
],
"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 May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.