NPIMap

Organization Active NPI

Joy Medical Clinic PLLC

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1760949200
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOY MEDICAL CLINIC PLLC
Doing business as
FAITH MEDICAL CLINIC
FAITH MEDICAL CLINIC, PLLC
Practice address
4310 S Western St Unit E
Amarillo, TX 79109-6036
Phone
(806) 418-2191
Fax
(806) 418-6233
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Gloria Lewis, FNP-C
Title
FNP
Phone
(806) 418-2191

Specialties & licenses 1

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

Addresses

Primary practice location

4310 S Western St Unit E
Amarillo, TX 79109-6036

Mailing address

4310 S Western St Unit E
Amarillo, TX 79109-6036
Phone (806) 418-2191

Other names 2

  • FAITH MEDICAL CLINIC Doing business as
  • FAITH MEDICAL CLINIC, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

4310 S Western St
Unit E
Amarillo, TX 79109
Phone (806) 418-2191

Practitioners & affiliated clinicians

Practitioners 3

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": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1760949200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 S WESTERN ST UNIT E",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096036",
            "telephone_number": "806-418-2191",
            "fax_number": "806-418-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 S WESTERN ST UNIT E",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096036",
            "telephone_number": "806-418-2191",
            "fax_number": "806-418-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "806-418-2191",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAITH MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAITH MEDICAL CLINIC, PLLC",
            "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 Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.