Organization Active NPI

Vitality Family Medical Group PLLC

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1720845928
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VITALITY FAMILY MEDICAL GROUP PLLC
Practice address
100 W. Pecan Blvd
McAllen, TX 78501
Phone
(806) 777-5641
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Sarah A Adkins, NPNPI 1265039044
Title
Partner/Owner
Phone
(806) 777-5641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

100 W. Pecan Blvd
McAllen, TX 78501

Mailing address

100 W. Pecan Blvd
McAllen, TX 78501
Phone (806) 777-5641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240417002047 TX Part B Supplier - Clinic/Group Practice 7618316142 Receives reassigned benefits from 3 practitioners
Practice locations: McAllen, 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
45D2300196Vitality Family Medical Group PLLC100 W Pecan Blvd, McAllen, TX 78501Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory

Locations

100 Pecan Blvd
McAllen, TX 78501
Phone (806) 777-5641

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": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1720845928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W. PECAN BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "806-777-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W. PECAN BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "806-777-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY FAMILY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "806-777-5641",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.