Active NPI
South Plains Endoscopy Center
- Endoscopy Clinic/Center
- Lubbock, TX
National Provider Identifier
1568419323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 000278
- Legal business name
- SOUTH PLAINS ENDOSCOPY CENTER
- Practice address
- 3610 24TH St
Lubbock, TX 79410-2014 - Phone
- (806) 795-1015
- Fax
- (806) 771-2235
- NPI assigned
- May 27, 2006
- 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
- Donita Fleming
- Title
- Authorized Official
- Phone
- (202) 815-3665
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Endoscopy Clinic/Center | 261QE0800X | 000278 | TX | Primary |
Addresses
Primary practice location
3610 24TH St
Lubbock, TX 79410-2014
Mailing address
3610 24TH St
Lubbock, TX 79410-2014
Phone (806) 795-1015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 451161 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091113000163 | TX | Part B Supplier - Ambulatory Surgical Center | 9032257902 | Practice locations: Lubbock, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- South Plains Endoscopy Center
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 45D0882630 | South Plains Endoscopy Center | Certificate of waiver | Feb 14, 2028 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1568419323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794102014",
"telephone_number": "806-795-1015",
"fax_number": "806-771-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794102014",
"telephone_number": "806-795-1015",
"fax_number": "806-771-2235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH PLAINS ENDOSCOPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "DONITA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "202-815-3665"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": "TX",
"license": "000278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "451161",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lubbock, TX
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
- South Plains Diagnostic, LLC
- South Plains Healthcare, Inc.
- South Plains Hearing Aid Center
- South Plains Home Health Care, LLC
- South Plains Infusion, Inc
- South Plains Pathology Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.