NPIMap

Organization Active NPI

Act Physician Group, P.a.

  • Primary Care Clinic/Center
  • Amarillo, TX
National Provider Identifier
1508051293
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ACT PHYSICIAN GROUP, P.A.
Practice address
3300 I-40 E
Suite 400
Amarillo, TX 79103-4801
Phone
(806) 379-9225
Fax
(806) 379-7661
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Dr. Ronald R Lacy, M.D.
Title
Medical Director
Phone
(806) 379-9225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3300 I-40 E
Suite 400
Amarillo, TX 79103-4801

Mailing address

7118 I-40 W
Suite 500
Amarillo, TX 79106-2503
Phone (806) 379-9225

Other names 1

  • Care Today Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110331000127 TX Part B Supplier - Clinic/Group Practice 8729261623 Receives reassigned benefits from 9 practitioners
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

3300 I 40 E
Ste 400
Amarillo, TX 79103
Phone (806) 379-8552

7118 W Interstate 40
Ste 500
Amarillo, TX 79106

3440 Bell St
Unit 122
Amarillo, TX 79109
Phone (806) 379-9225

7118 W Interstate 40
Bldg D
Amarillo, TX 79106

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1508051293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 I-40 W",
            "address_2": "SUITE 500",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062503",
            "telephone_number": "806-379-9225",
            "fax_number": "806-379-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 I-40 E",
            "address_2": "SUITE 400",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791034801",
            "telephone_number": "806-379-9225",
            "fax_number": "806-379-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT PHYSICIAN GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "806-379-9225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Today Clinic",
            "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 Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.