NPIMap

Organization Active NPI

FMC Medical Foundation, Inc.

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1427368083
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FMC MEDICAL FOUNDATION, INC.
Practice address
2701 S. Georgia
Amarillo, TX 79109-1930
Phone
(806) 350-3000
Fax
(806) 350-3337
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Stefanie Feemster
Title
Credentialing Specialist
Phone
(806) 358-9400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X

Addresses

Primary practice location

2701 S. Georgia
Amarillo, TX 79109-1930

Mailing address

2701 S. Georgia
Amarillo, TX 79109-1930
Phone (806) 350-3000

Other names 3

  • CareXpress Georgia Doing business as
  • FMC Behavioral Health Doing business as
  • FMC Georgia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FMC Medical Foundation Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1427368083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S. GEORGIA",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091930",
            "telephone_number": "806-350-3000",
            "fax_number": "806-350-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S. GEORGIA",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091930",
            "telephone_number": "806-350-3000",
            "fax_number": "806-350-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC MEDICAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "FEEMSTER",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "806-358-9400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareXpress Georgia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FMC Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FMC Georgia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FMC Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.