Individual provider Active NPI

Michael Colquitt Nash, MD

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1578897765
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3933 Issued in TX
Practice address
3113 Ross St
Amarillo, TX 79103-2700
Phone
(806) 374-7341
Fax
(806) 322-0533
NPI assigned
Sep 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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 N3933 TX Primary

Addresses

Primary practice location

3113 Ross St
Amarillo, TX 79103-2700

Mailing address

3113 Ross St
Amarillo, TX 79103-2700
Phone (806) 374-7341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000560 TX Practitioner - Family Practice 0244362556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regence Health Network IncGroup PAC ID 5698682557, 24 clinicians

Practice addresses (Care Compare)

2801 W 8TH St
Plainview, TX 79072-6737
Phone 80629309212064

3113 Ross St
Amarillo, TX 79103-2700
Phone (806) 374-7341

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3933TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regence Health Network Inc CurrentSince Oct 1, 2018 Accepting new patients
Regence Health Network Inc Current Accepting new patients
Regence Health Network Inc CurrentSince Oct 1, 2018 Accepting new patients

Locations

3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341

2801 W 8th St
Plainview, TX 79072
Phone (806) 293-0921

Interoperability endpoints

  • Direct secure messaging: michael.nash.1@12120.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1578897765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 ROSS ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791032700",
            "telephone_number": "806-374-7341",
            "fax_number": "806-322-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 ROSS ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791032700",
            "telephone_number": "806-374-7341",
            "fax_number": "806-322-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "MICHAEL",
        "middle_name": "COLQUITT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.