Active NPI
Access MD Healthcare Group, PLLC
- Family Medicine Physician
- Amarillo, TX
National Provider Identifier
1831479948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ACCESS MD HEALTHCARE GROUP, PLLC
- Practice address
- 4905 Lexington SQ
Amarillo, TX 79119-6574 - Phone
- (806) 350-7569
- Fax
- (806) 353-6707
- NPI assigned
- Aug 19, 2011
- 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
- Alicia Pepper
- Title
- Credentialing Specialists
- Phone
- (806) 651-9680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4905 Lexington SQ
Amarillo, TX 79119-6574
Mailing address
4905 Lexington SQ
Amarillo, TX 79119-6574
Phone (806) 350-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297752201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111025000582 | TX | Part B Supplier - Clinic/Group Practice | 2860665585 |
Receives reassigned benefits from 2 practitioners Practice locations: Amarillo, TX |
National Provider Directory
National Provider DirectoryLocations
4905 Lexington Sq
Amarillo, TX 79119
Phone (806) 353-6700
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Amarillo, TX
- NPI 1043389141
-
- Hospitalist Physician
- Iowa City, IA
- NPI 1447307897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406851200000",
"number": "1831479948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 LEXINGTON SQ",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196574",
"telephone_number": "806-350-7569",
"fax_number": "806-353-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 LEXINGTON SQ",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196574",
"telephone_number": "806-350-7569",
"fax_number": "806-353-6707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS MD HEALTHCARE GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-19",
"last_updated": "2014-08-01",
"status": "A",
"authorized_official_last_name": "PEPPER",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
"authorized_official_telephone_number": "806-651-9680"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "297752201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Aug 1, 2014; 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.