Active NPI
My Primary Care Clinic Abilene
- Primary Care Clinic/Center
- Abilene, TX
National Provider Identifier
1376309294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MY PRIMARY CARE CLINIC ABILENE
- Practice address
- 3347 S 2ND St Ste 100
Abilene, TX 79605-1760 - Phone
- (254) 424-3260
- NPI assigned
- Feb 27, 2024
- Last updated
- Jul 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kyle Karnei, CPA
- Title
- Cfo
- Phone
- (254) 424-3260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3347 S 2ND St Ste 100
Abilene, TX 79605-1760
Mailing address
4438 S Clack St
Abilene, TX 79606-3634
Phone (325) 704-4470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2300792 | My Primary Care | Certificate of waiver | Mar 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
3347 S 2nd St
#100
Abilene, TX 79605
Phone (325) 275-7824
3347 S 2nd St
Ste 100
Abilene, TX 79605
Phone (254) 424-3260
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Nurse Practitioner
- Abilene, TX
- NPI 1467966697
-
- Family Nurse Practitioner
- Abilene, TX
- NPI 1124505953
-
- Nurse Practitioner
- Abilene, TX
- NPI 1831476548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1376309294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4438 S CLACK ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796063634",
"telephone_number": "325-704-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3347 S 2ND ST STE 100",
"city": "ABILENE",
"state": "TX",
"postal_code": "796051760",
"telephone_number": "254-424-3260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY PRIMARY CARE CLINIC ABILENE",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-27",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "KARNEI",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "254-424-3260",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.