NPIMap

Organization Active NPI

Andrews County

  • Family Medicine Physician
  • Andrews, TX
National Provider Identifier
1861488694
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANDREWS COUNTY
Practice address
208 NW 2ND St
Andrews, TX 79714-6308
Phone
(432) 524-1434
Fax
(432) 524-1461
NPI assigned
Sep 27, 2005
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Gordon Mattimoe, DNP, APRN, FNP-CNPI 1497007116
Title
Authorized Official
Phone
(432) 524-1434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

208 NW 2ND St
Andrews, TX 79714-6308

Mailing address

208 NW 2ND St
Andrews, TX 79714-6308
Phone (432) 524-1434

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
45D0882632Andrews County Health Department208 NW 2ND Street, Andrews, TX 79714Certificate of waiverFeb 14, 2028

National Provider Directory

National Provider Directory

Locations

208 NW 2nd St
Andrews, TX 79714
Phone (432) 208-4666

211 NW 1st St
Andrews, TX 79714
Phone (915) 524-1434

Practitioners & affiliated clinicians

Practitioners 8

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": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1861488694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NW 2ND ST",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797146308",
            "telephone_number": "432-524-1434",
            "fax_number": "432-524-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NW 2ND ST",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797146308",
            "telephone_number": "432-524-1434",
            "fax_number": "432-524-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREWS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "MATTIMOE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "432-524-1434",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andrews, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.