Organization Active NPI

MD Medical Associates PC

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1760195309
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MD MEDICAL ASSOCIATES PC
Practice address
2650 Dumas Dr Unit 168
Amarillo, TX 79107-2070
Phone
(806) 670-5088
NPI assigned
Dec 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Mr. Marshall Dawkins, APRN, FNP-BCNPI 1740637263
Title
Owner
Phone
(806) 910-9969

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2650 Dumas Dr Unit 168
Amarillo, TX 79107-2070

Mailing address

PO Box 1399
Amarillo, TX 79105-1399
Phone (806) 670-5088

Other names 1

  • North Heights Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220000166 TX Part B Supplier - Clinic/Group Practice 6608226402 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

2650 Dumas Dr
Unit 168
Amarillo, TX 79107
Phone (806) 670-5088

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1760195309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1399",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791051399",
            "telephone_number": "806-670-5088",
            "fax_number": "866-493-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 DUMAS DR UNIT 168",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791072070",
            "telephone_number": "806-670-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-910-9969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Heights Medical 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 Oct 7, 2024; 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.