NPIMap

Individual provider Active NPI

Thomas Craig Darter, M.D.

  • Family Medicine Physician
  • Childress, TX
National Provider Identifier
1467553370
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H5760 Issued in TX
Practice address
1001 Hwy 83 N
Childress, TX 79201
Phone
(940) 937-3636
Fax
(940) 937-9644
NPI assigned
Sep 25, 2006
Last updated
Dec 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H5760 TX Primary

Addresses

Primary practice location

1001 Hwy 83 N
Childress, TX 79201

Mailing address

1001 US Highway 83 N
Childress, TX 79201-2322
Phone (940) 937-3636

Other identifiers 2

IdentifierTypeStateIssuer
8B4354OtherTXBLUE CROSS BLUE SHIELD
140182030MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000638 TX Practitioner - Family Practice 8527965433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 US Hwy 83 N
Childress, TX 79201-2322
Phone (940) 937-3636

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H5760TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Childress County Hospital District Past Accepting new patients
Preferred Hospital Leasing Inc Family Medicine PastSince Apr 30, 2003 Accepting new patients
Childress County Hospital District Past Accepting new patients
Childress County Hospital District Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avir at ChildressChildress, TX, CCN 675055 Skilled nursing facility Adp of the SNF Sep 30, 2014
Memphis Convalescent CenterMemphis, TX, CCN 675970 Skilled nursing facility Adp of the SNF Apr 14, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1467553370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 US HIGHWAY 83 N",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792012322",
            "telephone_number": "940-937-3636",
            "fax_number": "940-937-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HWY 83 N",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "79201",
            "telephone_number": "940-937-3636",
            "fax_number": "940-937-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTER",
        "first_name": "THOMAS",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8B4354",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140182030",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Childress, TX

Sources for this page

Verify at the official NPI Registry.