Organization Active NPI

Offices of Family Medicine PLLC

Doing business as White Settlement Family Medicine

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1447521380
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OFFICES OF FAMILY MEDICINE PLLC
Doing business as
White Settlement Family Medicine
Practice address
9668 Bartlett Cir
Fort Worth, TX 76108-4467
Phone
(817) 900-8031
Fax
(817) 900-8428
NPI assigned
Jan 24, 2012
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
John David Atwell
Title
Office Manager
Phone
(817) 900-8031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9668 Bartlett Cir
Fort Worth, TX 76108-4467

Mailing address

9668 Bartlett Cir
Fort Worth, TX 76108-4467
Phone (817) 900-8031

Other names 1

  • White Settlement Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120510000115 TX Part B Supplier - Clinic/Group Practice 9335301266 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Worth, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2036926White Settlement Family Medicine9668 Bartlett Circle, Fort Worth, TX 76108Certificate of waiverApr 11, 2028

National Provider Directory

National Provider Directory

Locations

9668 Bartlett Cir
Fort Worth, TX 76108
Phone (817) 900-8031

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1447521380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9668 BARTLETT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084467",
            "telephone_number": "817-900-8031",
            "fax_number": "817-900-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9668 BARTLETT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084467",
            "telephone_number": "817-900-8031",
            "fax_number": "817-900-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICES OF FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "ATWELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-900-8031"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Settlement Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.